Individual
MISTY ROSHEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2800 FAYETTEVILLE RD, VAN BUREN, AR 72956-6523
(479) 314-4000
Mailing address
8512 S 28TH ST APT 3, FORT SMITH, AR 72908-8673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-10640
AR
Other
Enumeration date
04/15/2014
Last updated
06/17/2020
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