Mikel Ray Gomez M.D.

NPI 1427122050 - Family Medicine - 207Q00000X

NPI Details
NPI 1427122050
Gender Male
Enumeration Date 11/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
405 BLACK HILLS LN SW STE F
OLYMPIA WA, 98502-8661, US
Phone (360) 357-4778
Fax (360) 357-4590
Business Location
5438 140TH AVE SW
ROCHESTER WA, 98579-9712, US
Phone (360) 754-8852
Fax (360) 357-4590
Toxanomy
Taxonomy Code 207Q00000X
License State Washington
License Number MD00014506
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According to our database, Dr. Mikel Ray Gomez M.D. NPI is 1427122050, taxonomy code is 207Q00000X and license number is MD00014506, license state is located at Washington. Mikel Ray Gomez M.D. physically located at 405 Black Hills Ln Sw Ste F, Olympia WA, 98502-8661. NPI Number Mikel Ray Gomez M.D. has the Individual type.

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1427122050 NPI number is provided on an as is basis without warranty of any kind. 1427122050 is maintained by the National Plan & Provider Enumeration System. The contents of Mikel Ray Gomez M.D. are for informational purposes only.