| Doctor Name: | DR. DAVID MANUEL GONZALEZ |
| NPI Number: | 1043208218 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 26748 |
| Business Practice Address: | 777 Hospital Way, Building A Ste 101 Pocatello, ID - 832012753 |
| Business Phone Number: | 2082342001 |
| Business Fax Number: | 2082322195 |
| Mailing Address: | Po Box 4516, POCATELLO |
| State: | ID |
| Postal Code: | 832054516 |
| Phone Number: | 2082342001 |
| Fax Number: | 2082322195 |
| NPI Enumeration Date: | 10/11/2005 |
| NPI Last Update Date: | 12/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 26748 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |