| Organization Name: | ROY C GOMEZ, MD, PC |
| NPI Number: | 1841472040 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROY C GOMEZ (OWNER) |
| Mailing Address: | 2308 Cedar Valley Drive Cedar Bluff |
| State: | VA US |
| Postal Code: | 24609 |
| Phone Number: | 2769639616 |
| Fax Number: | 2769633897 |
| NPI Enumeration Date: | 11/29/2007 |
| NPI Last Update Date: | 11/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 0101031258 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |