Individual
DR. REYNALDO A DE LOS ANGELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
409 E 25TH ST, SUITE 6, KEARNEY, NE 68847-5560
(308) 233-2278
Mailing address
409 E 25TH ST, SUITE 6, KEARNEY, NE 68847-5560
(308) 233-2278
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
18636
NE
2084P0802X
Addiction Psychiatry Physician
18636
NE
Other
Enumeration date
08/05/2006
Last updated
05/09/2015
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