Individual
DR. STEPHANIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3003 HILLRISE DR STE A, LAS CRUCES, NM 88011-4897
(575) 680-2227
(575) 680-2228
Mailing address
PO BOX 221463, EL PASO, TX 79913-4463
(575) 680-2227
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
3014
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD424
NM
Other
Enumeration date
09/12/2014
Last updated
09/22/2021
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