Organization
R.B. GONZALES MEDICAL AND BARIATRIC CENTER INC.
Active
Organization
R.B. GONZALES MEDICAL AND BARIATRIC CENTER INC.
Active
Other names
Ruben Gonzales MD Medical Services, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBIE CLARK (M.A.)
(812) 235-4000
Entity
Organization
Contact information
Practice address
1361 FORT HARRISON RD, TERRE HAUTE, IN 47804
(812) 235-4000
(812) 235-4004
Mailing address
1361 FORT HARRISON RD, TERRE HAUTE, IN 47804
(812) 235-4000
(812) 235-4004
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
IN
207R00000X
Internal Medicine Physician
Primary
01035596
IN
207R00000X
Internal Medicine Physician
01052731A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100326570
—
IN
05
—
200041630A
—
IN
Enumeration date
11/01/2006
Last updated
06/11/2013
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