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Individual

DR. ROBERT GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1002 WISHARD BLVD, 2ND FL, INDIANAPOLIS, IN 46202-2872
(317) 692-2363
(317) 656-3971
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01056761A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000307565
ANTHEM
IN
05
200455750
IN
Enumeration date
04/27/2006
Last updated
09/17/2025
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