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Search › Missouri › 363LA2100X

Brian Gonzales, AGACNP-BC

NPI 1295453397 · on the registry since 2022 · sole proprietor

Practice

Address
1600 E Broadway
Columbia, MO 65201
Phone
(573) 815-8000
Fax
(573) 815-2492
Organisation at this address
Ch Allied Servies Inc
Ch Allied Services, Inc
Ch Allied Services, Inc.
Ch Allied Services, Inc.
Ch Allied Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
159

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Also registered as
363LA2200X
363LG0600X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri