Individual
DR. JOSE M GONZALEZ-MALAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 SOUTH MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
(918) 342-6436
Mailing address
101 SOUTH MOORE AVE, CLAREMORE, OK 74017-5047
(918) 342-6200
(918) 342-6436
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
4301082730
MI
Other
Enumeration date
08/28/2006
Last updated
10/31/2011
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