JASON THOMAS GONZALES

ALBUQUERQUE, NM
NPI1609849124
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2005-0032)
Enumeration Date2006-02-08
Last Update Date2016-06-02
Business Address
-- JASON THOMAS GONZALES PA-C
1100 LEAD AVE SE PMG GI
ALBUQUERQUE, NM 87106-5215
Phone number: 505-224-7000
Mailing Address
-- JASON THOMAS GONZALES PA-C
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number:
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