Individual
JOSE IGNACIO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
157 N CORONADO DR, STE A, SIERRA VISTA, AZ 85635-6360
(520) 458-1208
(520) 458-1675
Mailing address
PO BOX 64447, TUCSON, AZ 85728
(520) 458-1208
(520) 458-1675
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21227
AZ
207RI0011X
Interventional Cardiology Physician
21227
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12587408
—
AZ
Enumeration date
10/10/2006
Last updated
09/09/2025
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