Edward Gomillion, LMT

NPI 1093930802 · on the registry since 2007 · sole proprietor

Practice

Address: 3227 E Bell Rd
Suite 201
Phoenix, AZ 85032
Phone: (602) 485-8434
Organisation at this address: Southwest Network
Genoa Healthcare Llc
Southwest Network, Inc.
Sun West Dental Center 2, Llc
Magellan Health Services Of Arizona, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: Specialist
174400000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona