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NPI 1417310780 · live from the CMS NPI Registry

Javier David Gonzalez, MD

Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery in Las Vegas, NV. National Provider Identifier 1417310780, active.

NPI record

NPI1417310780 Type 1 · individual
StatusActive
Primary specialtyObstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery 207VF0040X
Practice location2880 N Tenaya Way Ste 340, Las Vegas, NV 89128
Practice phone702-255-3547
Mailing address6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113
EnumeratedApril 3, 2016
Last updatedAugust 30, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program390200000X—
Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery primary207VF0040X23701 (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.