Most Relevant Information
Provider Data
| NPI Number: | 1003815408 |
| Provider Name: | DIEGO ALONSO GOMEZ MD |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 0101044147 |
Most Important Dates
| Enumeration Date: | 07/18/2005 |
| Last Updated: | 10/10/2022 |
Provider Practice Location
1139 E HIGH ST
CHARLOTTESVILLE
VA
229024856
Practice Location Phone/Fax
| Phone: | 4348178484 |
| Fax: | 4348178490 |
Provider Mailing Location
1139 E HIGH ST
CHARLOTTESVILLE
VA
229024856
Provider Mailing Phone/Fax
| Phone: | 4348178484 |
| Fax: | 4348178490 |