Individual
DR. GONZALO H SANCHEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MAC LANE, AVERAL MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 224-7070
(605) 224-2514
Mailing address
100 MAC LANE, AVERAL MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 224-7070
(605) 224-2514
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5217
SD
207X00000X
Orthopaedic Surgery Physician
Primary
SD5217
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6402160
—
SD
05
—
6402162
—
SD
Enumeration date
03/24/2006
Last updated
06/29/2012
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