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Individual

DR. EDUARDO GO DE LOS REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 745-1000
(270) 393-1913
Mailing address
825 2ND AVE, SUITE C6, BOWLING GREEN, KY 42101-1786
(270) 393-1912
(270) 393-1913

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
39721
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
39721
KY
208VP0000X
Pain Medicine Physician
39721
KY
208VP0014X
Interventional Pain Medicine Physician
39721
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000378694
BLUE CROSS
KY
05
64106065
KY
01
P00318957
RAILROAD MEDICARE
KY
Enumeration date
09/27/2005
Last updated
09/08/2016
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