Individual
MR. ALEX GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1160 SUNSET BLVD, ROCKLIN, CA 95765-3710
(916) 865-1000
(916) 865-1005
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21628
CA
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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