Doctor Name: | AURORA GONZALEZ |
NPI Number: | 1376582502 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 35078738 |
Business Practice Address: | 100 Medical Plaza Lake St Louis, MO - 63367 |
Business Phone Number: | 6366255303 |
Business Fax Number: | 6366255403 |
Mailing Address: | 220 Compass Point Dr., ST CHARLES |
State: | MO |
Postal Code: | 63301 |
Phone Number: | 6369474480 |
Fax Number: | 6369479860 |
NPI Enumeration Date: | 06/05/2006 |
NPI Last Update Date: | 12/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 35078738 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |