Kelly a Gomez Dpm PC

NPI #1306092812 in Provo, Utah

Provider Information

NPI Number
1306092812
Entity Type
Organization
Organization Name
Kelly a Gomez Dpm PC
Primary Specialty
Clinic/Center - Podiatric
Enumeration Date
Aug 15, 2008
Last Updated
Jul 2, 2009

Practice Location

Address
777 N 500 W
Address 2
SUITE 105
City
Provo
State
Utah
ZIP Code
84601-1541
Phone
(801) 375-6677

Authorized Official

Name
KELLY ALLAN GOMEZ, DPM
Title
OWNER/PRESIDENT
Phone
(801) 375-6677

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PodiatricPodiatric

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