Individual
DR. GONZALO MAURICIO GARCIA VILLEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
Mailing address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-1111
(314) 464-2278
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2025026932
MO
208M00000X
Hospitalist Physician
2025026932
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200110389
—
MO
Enumeration date
04/14/2022
Last updated
07/16/2025
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