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Organization
CATHRY J. GONZALES, M.D., P.A.
Active
Organization
CATHRY J. GONZALES, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHRYN J. GONZALES M.D. (PRESIDENT)
(870) 235-1112
Entity
Organization
Contact information
Practice address
1327 N WASHINGTON, MAGNOLIA, AR 71753-2067
(870) 235-1112
(870) 235-1114
Mailing address
1327 N WASHINGTON, MAGNOLIA, AR 71753-2067
(870) 235-1112
(870) 235-1114
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04D1052359
CLIA
AR
05
—
161249002
—
AR
Enumeration date
05/25/2006
Last updated
07/29/2008
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