Gloria Mh Gonzalez, RDN | |
16045 W Becker Ln, Surprise, AZ 85379-4618 | |
(623) 512-0067 | |
Not Available |
Full Name | Gloria Mh Gonzalez |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 16045 W Becker Ln, Surprise, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922725910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (Arizona) | Primary |
Provider Name | Mountain Park Health Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558308825 PECOS PAC ID: 8325949647 Enrollment ID: O20040119000460 |
Mailing Address | Practice Location Address |
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Gloria Mh Gonzalez, RDN 16045 W Becker Ln, Surprise, AZ 85379-4618 Ph: (623) 512-0067 | Gloria Mh Gonzalez, RDN 16045 W Becker Ln, Surprise, AZ 85379-4618 Ph: (623) 512-0067 |
Matthew Mai, Dietitian Medicare: Medicare Enrolled Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 877-809-5092 | |
Tiffany Marie Tutt, RD Dietitian Medicare: Medicare Enrolled Practice Location: 14719 W Grand Ave, Surprise, AZ 85374 Phone: 623-471-9355 Fax: 623-213-8523 | |
Briana Garcia, RD Dietitian Medicare: Medicare Enrolled Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 480-964-2273 Fax: 623-214-5214 | |
Nikki Kirby, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12650 N 150th Ln, Surprise, AZ 85379 Phone: 480-202-8862 | |
Jane Mcewan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15758 W Laurel Ln, Surprise, AZ 85379 Phone: 360-713-1699 | |
Sun Health Services Dietitian Medicare: Medicare Enrolled Practice Location: 14719 W Grand Ave, Surprise, AZ 85374 Phone: 623-471-9355 Fax: 623-213-8523 | |
Nutritional Glo Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16045 W Becker Ln, Surprise, AZ 85379 Phone: 623-512-0067 |