Organization
JR RENAISSANCE HEALTH SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE GONZALEZ GARCIA MD (MD CEO)
(928) 293-5999
Entity
Organization
Contact information
Practice address
1957 HWAY 95 STE 23, BULLHEAD CITY, AZ 86442-6744
(928) 234-3834
Mailing address
PO BOX 90182, HENDERSON, NV 89009-0182
(928) 234-3834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/08/2022
Last updated
03/02/2023
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