Individual
ARMANDO P GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 332-3800
(910) 251-0421
Mailing address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 332-3800
(910) 251-0421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102060
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01048402
RR MEDICARE
—
Enumeration date
04/08/2006
Last updated
07/26/2012
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