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Organization

HENRY J GONZALEZ M D INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HENRY J GONZALEZ M.D. (PRESIDENT)
(909) 985-2112
Entity
Organization

Contact information

Practice address
999 SAN BERNARDINO RD, UPLAND, CA 91786-4920
(909) 985-2811
Mailing address
PO BOX 148, CLAREMONT, CA 91711-0148
(909) 985-2112
(909) 985-3411

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G56342
CA
208D00000X
General Practice Physician
Primary
G56342
CA

Other

Enumeration date
05/22/2012
Last updated
05/22/2012
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