Individual
DR. ALICIA L GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 FIREHOUSE LANE, TAOS SKI VALLEY, NM 87525
(575) 776-8421
Mailing address
145 MESA VERDE ST, SANTA FE, NM 87501-1729
(575) 770-3481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2023-0423
NM
Other
Enumeration date
04/01/2020
Last updated
07/31/2023
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