Luis Gerardo Gomez is a Medical in Ballwin, Missouri. Luis Gerardo Gomez practices all healthcare services and medical treatments related to Medical. The NPI Number for Luis Gerardo Gomez is 1316977994. The last update date is 2021-01-14.
Luis Gerardo Gomez's current location address is 416 Terrington Dr, Ballwin, Missouri. You can contact this provider via phone number 6362309668. The mailing address for Luis Gerardo Gomez is 416 Terrington Dr, Ballwin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luis Gerardo Gomez |
|---|---|
| Address | 416 Terrington Dr, Ballwin, Missouri |
| Phone Number | 6362309668 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1316977994 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2021-01-14 |
Provider Mailing Address Detail
| Address | 416 Terrington Dr |
|---|---|
| City | Ballwin |
| State | Missouri (MO) |
| Post Code | 630214416 |
| Phone Number | 6362309668 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 111558 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique identification code assigned to Luis Gerardo Gomez by the Centers for Medicare & Medicaid Services?
The Luis Gerardo Gomez has been issued the NPI (National Provider Identifier) 1316977994. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Luis Gerardo Gomez is geographically located?
The Luis Gerardo Gomez is physically situated at the following location: 416 Terrington Dr, Ballwin, MO, 630214416.
What is Luis Gerardo Gomez's specialized field of practice, and what is the corresponding taxonomy classification code?
The Luis Gerardo Gomez's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1316977994 to Luis Gerardo Gomez?
The Luis Gerardo Gomez received its 1316977994 assignment from the Centers for Medicare & Medicaid Services on 2006-07-03.
When was the information regarding Luis Gerardo Gomez most recently updated?
The details pertaining to the Luis Gerardo Gomez, including its address, specialty, and other relevant information, were last refreshed on 2021-01-14.
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