Individual
MR. ANTHONY DAVID GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
31720 US HIGHWAY 79 S, SUITE 100, TEMECULA, CA 92592-5895
(951) 303-2277
(951) 303-6432
Mailing address
31720 US HIGHWAY 79 S, SUITE 100, TEMECULA, CA 92592-5895
(951) 303-2277
(951) 303-6432
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19466
CA
Other
Enumeration date
11/09/2007
Last updated
10/06/2015
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