| Doctor Name: | DEBORAH ANN GONZALES |
| NPI Number: | 1376925883 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 11215 W Nevada Ave Ste C Youngtown, AZ - 853631244 |
| Business Phone Number: | 6238478839 |
| Business Fax Number: | 6238478838 |
| Mailing Address: | 2445 W Silver Sage Ln, PHOENIX |
| State: | AZ |
| Postal Code: | 850855740 |
| Phone Number: | 6238478839 |
| Fax Number: | 6238478838 |
| NPI Enumeration Date: | 06/19/2015 |
| NPI Last Update Date: | 07/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744R1102X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Research Study |
| Taxonomy Definition: | |