Basic Information
| Provider Information | |||||||||
| NPI: | 1356488639 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GOMER | ||||||||
| FirstName: | ERICK | ||||||||
| MiddleName: | M | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1030 JOHNSON RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | GOLDEN | ||||||||
| State: | CO | ||||||||
| PostalCode: | 804016003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7203219300 | ||||||||
| FaxNumber: | 7203219301 | ||||||||
| Practice Location | |||||||||
| Address1: | 1526 COLE BLVD STE 300 | ||||||||
| Address2: | |||||||||
| City: | LAKEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 804013410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033799371 | ||||||||
| FaxNumber: | 3032844082 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2007 | ||||||||
| LastUpdateDate: | 04/27/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 60026184 | WA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | A102422 | CA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 38066 | AZ | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 50621 | CO | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.