Provider Demographics
NPI:1740481845
Name:GOMEZ, ARIC (DC)
Entity type:Individual
Prefix:DR
First Name:ARIC
Middle Name:
Last Name:GOMEZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5488 RENO CORPORATE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2282
Mailing Address - Country:US
Mailing Address - Phone:775-853-0250
Mailing Address - Fax:775-853-0252
Practice Address - Street 1:5488 RENO CORPORATE DR STE 200
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2282
Practice Address - Country:US
Practice Address - Phone:775-853-0250
Practice Address - Fax:775-853-0252
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB01240111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor