NPI 1083015283

Mario Gonzalez

Practitioner Basic Emergency Medical Technician Fort Stewart, GA

Practice location

Address: 1061 Harmon Ave, Fort Stewart, GA 31314-5641
Phone: (209) 581-6319

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence E3104001 (TX)

Other Emergency Medical Technician, Basic providers in Georgia →

Registry record

NPI: 1083015283
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Sep 2014
Record last updated: 8 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.