Individual
DAVID GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
270 CHEVY CHASE WAY, CRESCENT CITY, CA 95531-8373
(707) 464-1520
Mailing address
PO BOX 270, CRESCENT CITY, CA 95531-0270
(707) 464-1520
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G64302
CA
208D00000X
General Practice Physician
G64302
CA
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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