Wilson Gomer M.d. Professional Medical Corporation
NPI #1104327543 in San Bernardino, California
Provider Information
- NPI Number
- 1104327543
- Entity Type
- Organization
- Organization Name
- Wilson Gomer M.d. Professional Medical Corporation
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Feb 21, 2018
- Last Updated
- Jun 6, 2018
Practice Location
- Address
- 1800 WESTERN AVE STE 103
- City
- San Bernardino
- State
- California
- ZIP Code
- 92411
- Phone
- (909) 887-7427
Authorized Official
- Name
- DR. WILSON D GOMER, MD
- Title
- PRESIDENT
- Phone
- (909) 802-9374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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