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Individual

RICHARD D GONZALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4012 UNIVERSITY DR NW, HUNTSVILLE, AL 35816-3002
(256) 882-0000
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(800) 480-5243

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.42239
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
263136
AL
05
274194
AL
Enumeration date
01/15/2007
Last updated
01/22/2024
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