Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROBERT GOMANN GENOVESE II, PA-C
Active Sole ProprietorMR. ROBERT GOMANN GENOVESE II, PA-C is a Surgical Physician Assistant healthcare provider located in OPELOUSAS, Louisiana. NPI 1750880134 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · OPELOUSAS, LA
Registration Details
- NPI Number
- 1750880134
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2018 (8.5356661313092 yrs)
- Last Updated
- Feb 12, 2018
- License
-
307277 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1233 WAYNE GILMORE CIR STE 250AOPELOUSAS, LA, 705706405Browse LA providers · Browse ZIP 70570
- Phone
- 3379488556
- Fax
- 3379486881
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.