Individual
GRANT JOSEPH GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(504) 988-7809
Mailing address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
340463
LA
Other
Enumeration date
04/01/2021
Last updated
06/13/2024
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