Individual
MELANIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2406 E R.D. MIZE RD STE. B, INDEPENDENCE, MO 64057-6405
(816) 478-3338
Mailing address
2406 E R D MIZE R.D. STE B, INDEPENDENCE, MO 64057
(816) 478-3338
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2018032267
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992185763
—
MO
Enumeration date
06/05/2015
Last updated
10/21/2019
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