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Organization
RICARDO GONZALEZ MD FAMILY PRACTICE PC
Active
Organization
RICARDO GONZALEZ MD FAMILY PRACTICE PC
Active
Other names
Peavine Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO J. GONZALEZ MD (OWNER)
(775) 624-6492
Entity
Organization
Contact information
Practice address
2005 SIERRA HIGHLANDS DR STE 101, RENO, NV 89523-2301
(775) 624-6492
Mailing address
2005 SIERRA HIGHLANDS DR STE 101, RENO, NV 89523-2301
(775) 624-6492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10279
NV
208D00000X
General Practice Physician
10279
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13216011297
—
NV
Enumeration date
08/16/2017
Last updated
07/21/2022
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