Individual
MR. MANUEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
4105 NEWLON RD, FORT SMITH, AR 72904-2126
(479) 974-1270
Mailing address
4105 NEWLON RD, FORT SMITH, AR 72904-2126
(479) 974-1270
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0135455
OK
363LF0000X
Family Nurse Practitioner
Primary
223630
AR
Other
Enumeration date
02/10/2023
Last updated
04/05/2023
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