Individual
KEITH ORLANDO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-7400
(520) 874-3425
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85706-7124
(520) 874-7400
(520) 874-3425
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35610
AZ
2084N0400X
Neurology Physician
E-10848
AR
2084N0400X
Neurology Physician
Primary
MD462889
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112240
—
AZ
01
—
P00322978
RR MEDICARE
AZ
Enumeration date
07/27/2006
Last updated
10/31/2024
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