Organization
MIGUEL GONZALES M D PROF CORP
Active
Organization
MIGUEL GONZALES M D PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL A GONZALEZ MD (PRESIDENT)
(702) 233-3191
Entity
Organization
Contact information
Practice address
9030 W SAHARA AVE # 260, LAS VEGAS, NV 89117-5744
(702) 321-5293
(702) 463-1507
Mailing address
9030 W SAHARA AVE # 260, LAS VEGAS, NV 89117-5744
(702) 321-5293
(702) 463-1507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
01/18/2007
Last updated
06/23/2010
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