Individual
DAVID A GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
504 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 724-2005
Mailing address
314 W HOUGHTON ST, SANTA FE, NM 87505-8849
(505) 577-8282
(505) 843-2931
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
94-254
NM
208M00000X
Hospitalist Physician
94-254
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15917
—
NM
Enumeration date
06/15/2005
Last updated
06/23/2011
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