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Individual

DR. JORGE GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 PETALUMA AVE, SEBASTOPOL, CA 95472-4215
(707) 823-8511
(707) 829-4147
Mailing address
501 PETALUMA AVE, SEBASTOPOL, CA 95472-4215
(707) 823-8511
(707) 829-4147

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
GO57888
CA

Other

Enumeration date
04/11/2007
Last updated
08/12/2010
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