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NPI Code Detail

MEDICARE: DR. ABEL ARNOLDO GONZALEZ LONGORIA M.D.

MEDICARE: DR. ABEL ARNOLDO GONZALEZ LONGORIA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician24944NV
2207ZC0500XCytopathology PhysicianBP10041604TX
3207ZP0102XAnatomic Pathology & Clinical Pathology Physician001872GA
4207ZP0102XAnatomic Pathology & Clinical Pathology Physician71496AZ
5207ZP0102XAnatomic Pathology & Clinical Pathology Physician257335NY
6207ZP0105XClinical Pathology/Laboratory Medicine Physician257335NY

General Provider Information

NPI Number : 1548488505
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABEL ARNOLDO GONZALEZ LONGORIA M.D.
Provider Business Mailing Address
First Line : 2257 PINE FOREST CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89134-6023
Country : US
Telephone Number : 706-832-2372
Fax Number :
Provider Business Practice Location Address
First Line : 7455 W WASHINGTON AVE STE 301
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-4340
Country : US
Telephone Number : 706-832-2372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 07/09/2024

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