Edward Johan Gomillion in Phoenix - Specialist
Edward Johan Gomillion - NPI 1093930802
Edward Johan Gomillion is a Specialist in Phoenix, Arizona. Edward Johan Gomillion practices all healthcare services and medical treatments related to Specialist. The NPI Number for Edward Johan Gomillion is 1093930802. The last update date is 2007-07-08.
Edward Johan Gomillion's current location address is 3227 E Bell Rd, Phoenix, Arizona. You can contact this provider via phone number 6024858434. The mailing address for Edward Johan Gomillion is 3227 E Bell Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Edward Johan Gomillion |
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Address | 3227 E Bell Rd, Phoenix, Arizona |
Phone Number | 6024858434 |
Fax Number | |
Sole Proprietor | Y |
Credentials | LMT |
NPI Number Detail
NPI Number | 1093930802 |
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Provider Enumeration Date | 2007-04-16 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3227 E Bell Rd |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 850322700 |
Phone Number | 6024858434 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | MT04378P |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Edward Johan Gomillion by the Centers for Medicare & Medicaid Services?
The Edward Johan Gomillion has been issued the NPI (National Provider Identifier) 1093930802 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Edward Johan Gomillion is located?
The Edward Johan Gomillion is situated at the following address: 3227 E Bell Rd, Phoenix, AZ, 850322700.
What is Edward Johan Gomillion's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edward Johan Gomillion is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date was the 1093930802 assigned to Edward Johan Gomillion?
The Edward Johan Gomillion was issued its 1093930802 on 2007-04-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Edward Johan Gomillion, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edward Johan Gomillion, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.