Provider Demographics
NPI:1326006131
Name:GONZALES, FELIX EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:EDWARD
Last Name:GONZALES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:804 KENYON RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:FORT DODGE
Mailing Address - State:IA
Mailing Address - Zip Code:50501-5742
Mailing Address - Country:US
Mailing Address - Phone:515-576-3100
Mailing Address - Fax:515-576-3104
Practice Address - Street 1:804 KENYON RD
Practice Address - Street 2:SUITE F
Practice Address - City:FORT DODGE
Practice Address - State:IA
Practice Address - Zip Code:50501-5742
Practice Address - Country:US
Practice Address - Phone:515-576-3100
Practice Address - Fax:515-576-3104
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-02
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA26089207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology