Organization · NPI-2

Adalberto C. Gonzalez, M.D., Prof. Corp.

Thoracic Surgery (Cardiothoracic Vascular Surgery) · Phoenix, AZ

NPI number1326328725
StatusActive
Last updated in NPPESAug 17, 2011

Details

NPI
1326328725
Entity type
Organization (NPI-2)
Legal business name
Adalberto C. Gonzalez, M.D., Prof. Corp.
Organization subpart
No
Enumeration date
Aug 17, 2011
Last updated
Aug 17, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)12521AZYes
2086S0129X 12521AZ

Practice location

5333 N 7th St
Suite B219
Phoenix, AZ 85014-2821

Phone 602-881-5430 · Fax 623-399-8606

Mailing address

3219 E Camelback Rd
#833
Phoenix, AZ 85018-2307

Phone 602-881-5430 · Fax 623-399-8606

Authorized official

Adalberto C Gonzalez
Ceo
6233998606

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