Individual provider · Type 1 NPI

Richard Gonzalez, MD

Military Health Care Provider · Columbus, GA

NPI number 1750477550 Active

Practice location

7950 Martin Loop, Fort Benning
Columbus, GA 31905

Call (706) 544-3730 Map

Mailing address

400 1st Division Rd, Fort Benning
Columbus, GA 31905-6809

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X9139 (PR)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1750477550

Richard Gonzalez, MD's National Provider Identifier is 1750477550, issued on Oct 5, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Columbus, GA. The record was last updated on Jul 8, 2007.