Individual
DR. JAIME EDUARDO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E BOULDER ST, SUITE 700, COLORADO SPRINGS, CO 80909-5533
(719) 635-7172
(719) 444-3759
Mailing address
1400 E BOULDER ST, SUITE 700, COLORADO SPRINGS, CO 80909-5533
(719) 635-7172
(719) 444-3759
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
242635
NY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
DR.0052595
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98785036
—
CO
Enumeration date
02/07/2007
Last updated
05/05/2016
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