Individual
DR. MARIO HUMBERTO GONZALEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7131 N 11TH ST, SUITE 101, FRESNO, CA 93720-3375
(559) 435-0717
(559) 435-9105
Mailing address
7131 N 11TH ST, SUITE 101, FRESNO, CA 93720-3375
(559) 435-0717
(559) 435-9105
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00A414620
CA
Other
Enumeration date
07/28/2006
Last updated
10/26/2011
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