Individual
ROBERT GONSALVES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1920 E CAMBRIDGE AVE STE 301, PHOENIX, AZ 85006
(026) 933-0935
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
007269
AZ
2080P0205X
Pediatric Endocrinology Physician
704889
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2014
Last updated
12/09/2020
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