Individual
RAFAEL GASPAR GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6400
Mailing address
155 N FRESNO ST, FRESNO, CA 93701-2302
(559) 499-6400
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A158912
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2016
Last updated
10/23/2018
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