Individual
RICHARD JESUS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
(270) 825-7266
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
(270) 825-7200
(270) 825-7266
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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