Individual
RICHARD GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7950 MARTIN LOOP, FORT BENNING, COLUMBUS, GA 31905
(706) 544-3730
Mailing address
400 1ST DIVISION RD, FORT BENNING, COLUMBUS, GA 31905-6809
(706) 544-3730
(706) 544-3163
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
9139
PR
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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