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Individual

DR. WILLIAM L GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4000 MITCHELLVILLE RD, SUITE B128, BOWIE, MD 20716-3104
(301) 464-1192
(301) 464-2864
Mailing address
4000 MITCHELLVILLE RD, SUITE B128, BOWIE, MD 20716-3104
(301) 464-1192
(301) 464-2864

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101044148
VA
207W00000X
Ophthalmology Physician
Primary
D0016996
MD
207W00000X
Ophthalmology Physician
MD9847
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
030231700
MD
Enumeration date
08/16/2006
Last updated
10/23/2008
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