Individual
DR. GONZALO GABRIEL GURMENDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1736 OXMOOR RD, SUITE 103, BIRMINGHAM, AL 35209-4058
(205) 879-2120
(205) 879-2125
Mailing address
1736 OXMOOR RD, SUITE 103, BIRMINGHAM, AL 35209-4058
(205) 879-2120
(205) 879-2125
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13228
AL
2084P0804X
Child & Adolescent Psychiatry Physician
13228
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-79296
BLUE CROSS/BLUE SHIELD
AL
Enumeration date
10/03/2006
Last updated
10/15/2012
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