EDWARD JOHAN GOMILLION LMT NPI 1093930802

NPI Information

Edward Johan Gomillion, LMT is a specialist in Phoenix, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Edward Johan Gomillion, LMT NPI is 1093930802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3227 E BELL RD
SUITE 201
PHOENIX, AZ
ZIP 85032-700
Phone: (602) 485-8434

The enumeration date for this NPI number is 4/16/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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