DR. Jed David Gonzalo, M.D.

NPI #1003073685 in Roanoke, Virginia

Provider Information

NPI Number: 1003073685
Entity Type: Individual
Name: DR. Jed David Gonzalo, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: May 21, 2008
Last Updated: Dec 28, 2022

Practice Location

Address: 3 RIVERSIDE CIR
City: Roanoke
State: Virginia
ZIP Code: 24016-4955
Phone: (540) 224-5170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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