Individual
DR. ERIC GABRIEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
616 E SOUTHERN AVE, #103, MESA, AZ 85204
(602) 569-3999
(602) 569-3887
Mailing address
1533 E WILLETTA ST, PHOENIX, AZ 85006-2935
(602) 569-3999
(602) 569-3887
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
18622
PR
208000000X
Pediatrics Physician
Primary
51791
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120323
—
AZ
Enumeration date
07/26/2010
Last updated
08/23/2019
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