Provider Demographics
NPI:1811171572
Name:GOMEZ, MARCO A (MD)
Entity type:Individual
Prefix:DR
First Name:MARCO
Middle Name:A
Last Name:GOMEZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2356 MEADOWS BLVD STE 140B
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-8410
Mailing Address - Country:US
Mailing Address - Phone:303-218-7774
Mailing Address - Fax:720-608-5781
Practice Address - Street 1:2356 MEADOWS BLVD STE 140B
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-8410
Practice Address - Country:US
Practice Address - Phone:303-218-7774
Practice Address - Fax:720-618-5781
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-18
Last Update Date:2020-07-22
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Provider Licenses
StateLicense IDTaxonomies
CO42550207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine