Gonzalez, Gus Anthony

Gonzalez, Gus Anthony is an individual health care provider with primary practice located at 701 Falling Sky Dr , Edmond OK 73034-0808. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Gonzalez, Gus Anthony can be contacted via phone (417) 544-4147.

Contact Information

Primary practice address
701 Falling Sky Dr Edmond OK 73034-0808
Phone: (417) 544-4147
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X M6151 Texas
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 2014027664 Missouri
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 2014027664 Missouri

Profile Details

NPI number 1962497594
LBN Legal business name Gonzalez, Gus Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jun 12th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962497594 NPPES
Oklahoma MEDICAID 100216400D
Oklahoma MEDICAID 1886756-01
Oklahoma MEDICAID 200016575
Oklahoma MEDICAID 1886756-03
Oklahoma MEDICAID 1962497594

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