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Contact Information

GUS A GONZALEZ, MD
701 FALLING SKY DR
EDMOND, OK73034-0808
 Phone: 417-544-4147
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GUS A GONZALEZ · (Male)

NPI Number 1962497594
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2005
Last updated 06/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2014027664
  • TX License # M6151
  • MO Medicaid 1962497594
  • MO Medicaid 200016575
  • OK Medicaid 100216400D
  • TX Medicaid 1886756-01
  • TX Medicaid 1886756-03
Hospital affiliation(s) Not Available
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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