Individual
AURORA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MEDICAL PLAZA, LAKE ST LOUIS, MO 63367
(636) 625-5303
(636) 625-5403
Mailing address
220 COMPASS POINT DR., ST CHARLES, MO 63301
(636) 947-4480
(636) 947-9860
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2009008660
MO
2085R0202X
Diagnostic Radiology Physician
35078738
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200859790A
—
IN
05
—
2744043
—
OH
Enumeration date
06/05/2006
Last updated
12/11/2013
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