Individual
REYNALDO NOVAK GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W COLUMBIA ST, SUITE 420, EVANSVILLE, IN 47710-1782
(812) 422-3254
(812) 426-6388
Mailing address
350 W COLUMBIA ST, SUITE 420, EVANSVILLE, IN 47710-1782
(812) 422-3254
(812) 426-6388
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01054764A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200344150
—
IN
05
—
64038029
—
KY
Enumeration date
10/04/2005
Last updated
02/29/2024
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