Individual
JOHN ANTHONY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
527 ODD FELLOWS RD STE B, CROWLEY, LA 70526-2208
(337) 785-2006
(337) 785-2016
Mailing address
3 DORIS CT, CROWLEY, LA 70526-2363
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12939R
LA
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
12939R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1555011
—
LA
Enumeration date
07/07/2005
Last updated
06/19/2017
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