Doctor Name: | MRS. MARILYN E GOMEZ |
NPI Number: | 1801957345 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MT-04713P |
Business Practice Address: | 3109 East Cactus Road Phoenix, AZ - 850327155 |
Business Phone Number: | 4805701897 |
Business Fax Number: | 6027881570 |
Mailing Address: | 3109 East Cactus Road, PHOENIX |
State: | AZ |
Postal Code: | 850327155 |
Phone Number: | 4805701897 |
Fax Number: | 6027881570 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | MT-04713P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |