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Organization
ADALBERTO C. GONZALEZ, M.D., PROF. CORP.
Active
Organization
ADALBERTO C. GONZALEZ, M.D., PROF. CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADALBERTO C GONZALEZ MD (CEO)
(623) 399-8606
Entity
Organization
Contact information
Practice address
5333 N 7TH ST, SUITE B219, PHOENIX, AZ 85014-2821
(602) 881-5430
(623) 399-8606
Mailing address
3219 E CAMELBACK RD, #833, PHOENIX, AZ 85018-2307
(602) 881-5430
(623) 399-8606
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
12521
AZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
12521
AZ
Other
Enumeration date
08/17/2011
Last updated
08/17/2011
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