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Individual

RICHARD P GONZALEZ

Active
Find providers by NPI
Individual

RICHARD P GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
036083260
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000044493
—
AL
05
—
00120450
—
MS
01
—
020042466
RAILROAD MEDICARE PTAN
AL
05
—
1151181
—
LA
01
—
17-10433
UNITED HEALTH CARE
AL
05
—
255987100
—
FL
01
—
51044493
BLUE CROSS
AL
01
—
51592788
BCBS - 2451 FILLINGIM
AL
01
—
51593901
BCBS - 575 STANTON ROAD
AL
Enumeration date
05/30/2006
Last updated
03/02/2016
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