Andres Enrique Javier Gonzalez

NPI #1225662646 in Roseburg, Oregon

Provider Information

NPI Number: 1225662646
Entity Type: Individual
Name: Andres Enrique Javier Gonzalez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Feb 25, 2020
Last Updated: Apr 6, 2023

Practice Location

Address: 150 NE KENNETH FORD DR
City: Roseburg
State: Oregon
ZIP Code: 97470-1042
Phone: (787) 517-9684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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