Individual
ALEJANDRA ANTONIETA ROA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 S FREMONT AVE STE 2300, SPRINGFIELD, MO 65804-2233
(417) 820-5600
Mailing address
2115 S FREMONT AVE STE 2300, SPRINGFIELD, MO 65804-2233
(417) 820-5600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2023005483
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
154430
FL
Other
Enumeration date
03/19/2019
Last updated
08/07/2024
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