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Contact Information

SERGIO GONZALEZ, CRNA
1011 14TH AVE NW
ARDMORE, OK73401-1828
 Phone: 580-226-1251
 Fax: 580-226-1254
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for SERGIO GONZALEZ · (Male)

NPI # 1487985016
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 01/21/2010
Last updated 01/21/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • OK License # R0075019
  • OK Other R0075019 CRNA LICENSE
Hospital affiliation(s)
  • MERCY MEMORIAL HEALTH CENTER - (Acute Care)
    1011 FOURTEENTH AVENUE, NORTHWEST
    ARDMORE, OK 73401
  • VALLEY VIEW REGIONAL HOSPITAL - (Acute Care)
    430 NORTH MONTA VISTA
    ADA, OK 74820
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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