Individual
MARIO FLORES GOLLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 GEORGIA AVE NW, BLDG 1, RM A330, WRAMC, WASHINGTON, DC 20307-0003
(202) 782-7364
(202) 782-4823
Mailing address
WRAMC, 6900 GEORGIA AVE, NW, BLDG 1, RM A330,, WASHINGTON, DC 20307
(202) 782-7364
(202) 782-4823
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0033954
MD
Other
Enumeration date
11/13/2006
Last updated
03/15/2010
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