R B Gonzales Medical and Bariatric Center INC

NPI #1952644932 in Terre Haute, Indiana

Provider Information

NPI Number: 1952644932
Entity Type: Organization
Organization Name: R B Gonzales Medical and Bariatric Center INC
Primary Specialty: Nutritionist
Enumeration Date: Mar 28, 2013
Last Updated: May 28, 2013

Practice Location

Address: 1361 FORT HARRISON RD
City: Terre Haute
State: Indiana
ZIP Code: 47804-1203
Phone: (812) 235-4000

Authorized Official

Name: MRS. BOBBIE CLARK
Title: MEDICAL ASSISTANT
Phone: (812) 235-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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