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Contact Information

AURORA GONZALEZ, MD
100 MEDICAL PLAZA
LAKE SAINT LOUIS, MO63367
 Phone: 636-625-5303
 Fax: 636-625-5403
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for AURORA GONZALEZ · (Female)

NPI Number 1376582502
Status Active
Credentials MD
Entity Individual
Enumeration date 06/05/2006
Last updated 12/11/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2009008660
  • OH License # 35078738
  • IN Medicaid 200859790A
  • OH Medicaid 2744043
Hospital affiliation(s)
  • SSM DEPAUL HEALTH CENTER - (Acute Care)
    12303 DEPAUL DRIVE
    BRIDGETON, MO 63044
  • SSM ST JOSEPH HEALTH CENTER - (Acute Care)
    300 1ST CAPITOL DR
    SAINT CHARLES, MO 63301
  • SSM ST JOSEPH HOSPITAL WEST - (Acute Care)
    100 MEDICAL PLAZA
    LAKE SAINT LOUIS, MO 63367
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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