Individual
HENRY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 STANTON L YOUNG BLVD STE 1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
(405) 271-8695
Mailing address
PO BOX 26901, OKLAHOMA CITY, OK 73126-0901
(405) 271-4351
(405) 271-8695
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
40528
OK
207L00000X
Anesthesiology Physician
Primary
G56342
CA
246ZC0007X
Surgical Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G563420
—
CA
Enumeration date
06/15/2006
Last updated
03/01/2023
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