Organization
FAUSTINO M. GONZALEZ, MD PC
Active
Organization
FAUSTINO M. GONZALEZ, MD PC
Active
Other names
Faustino M. Gonzalez, MD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAUSTINO M GONZALEZ MD (PHYSICIAN)
(602) 529-6422
Entity
Organization
Contact information
Practice address
11811 N. TATUM BLVD, SUITE 3031, PHOENIX, AZ 85028
(602) 529-6422
(602) 529-6433
Mailing address
3309 N 85TH PLACE, SCOTTSDALE, AZ 85251
(602) 529-6422
(602) 529-6433
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23659
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043238801
—
AZ
Enumeration date
09/19/2017
Last updated
09/19/2017
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