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Contact Information

JUAN GONZALEZ, MD
1701 LACEY ST
DEPT PATHOLOGY
CAPE GIRARDEAU, MO63701-5230
 Phone: 314-362-5641
 Fax: 314-362-0369
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JUAN GONZALEZ · (Male)

NPI # 1801826425
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2006
Last updated 11/15/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R2F61
  • MO Medicaid 202688800
Hospital affiliation(s)
  • MISSOURI SOUTHERN HEALTHCARE - (Acute Care)
    1200 N ONE MILE RD
    DEXTER, MO 63841
  • SOUTHEAST MISSOURI HOSPITAL - (Acute Care)
    1701 LACEY ST
    CAPE GIRARDEAU, MO 63701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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