Individual
GONZALO ALVAREZ DEL REAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP # 108, SHREVEPORT, LA 71105-5634
(318) 798-4544
(318) 798-4557
Mailing address
PO BOX 415000 LBX 410604, NASHVILLE, TN 37241-0604
(318) 798-4539
(318) 798-4601
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
311897
LA
Other
Enumeration date
04/28/2006
Last updated
02/27/2019
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