Individual
DR. PHILIP MENDOZA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10503 TROTTERS POINTE DR APT 202, LOUISVILLE, KY 40241-1286
(502) 852-7041
Mailing address
10503 TROTTERS POINTE DR APT 202, LOUISVILLE, KY 40241-1286
(502) 852-7041
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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