Individual
JAVIER DAVID GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2880 N TENAYA WAY STE 340, LAS VEGAS, NV 89128-0642
(702) 255-3547
(702) 307-2204
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
23701
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23701
STATE LICENSE
NV
Enumeration date
04/03/2016
Last updated
08/30/2023
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