Gomez, Miquel Dean

Gomez, Miquel Dean is an individual health care provider with primary practice located at 10150 N 67Th Ave Ste 101 , Glendale AZ 85302-1004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Gomez, Miquel Dean can be contacted via phone (623) 561-4547.

Contact Information

Primary practice address
10150 N 67Th Ave Ste 101 Glendale AZ 85302-1004
Phone: (623) 561-4547
Fax: (623) 412-4995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X AZ23411 Arizona
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 23411 Arizona

Profile Details

NPI number 1780611731
LBN Legal business name Gomez, Miquel Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jun 20th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780611731 NPPES
Arizona MEDICAID 324244

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