Organization
R B GONZALES MEDICAL AND BARIATRIC CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOBBIE CLARK (MEDICAL ASSISTANT)
(812) 235-4000
Entity
Organization
Contact information
Practice address
1361 FORT HARRISON RD, TERRE HAUTE, IN 47804-1203
(812) 235-4000
(812) 235-4004
Mailing address
1361 FORT HARRISON RD, TERRE HAUTE, IN 47804-1203
(812) 235-4000
(812) 235-4004
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/28/2013
Last updated
05/28/2013
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