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Contact Information

J G GONZALEZ, MD
4140 E BASELINE RD
STE 211
MESA, AZ85206
 Phone: 480-273-8680
 Fax: 480-306-7683
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for J G GONZALEZ · (Male)

NPI Number 1427027408
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2006
Last updated 07/12/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 26245
  • AZ Other 26245 AZ MEDICAL BOARD
Hospital affiliation(s)
  • BANNER DESERT MEDICAL CENTER - (Acute Care)
    1400 SOUTH DOBSON ROAD
    MESA, AZ 85202
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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