Individual
JAVIER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 293-4448
(614) 293-3277
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-4448
(614) 293-3277
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35129905
OH
2084N0400X
Neurology Physician
FTL43059
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075712
—
OH
01
—
3851910177
MYUTMB 3851910177
—
Enumeration date
08/05/2007
Last updated
04/01/2019
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