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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