Carlos Rafael Gonzalez Rendon MD

NPI No. 1467688879 - Student in an Organized Health Care Education

 

Contacts & Locations

Practice Address

  • 305 W Jackson St
    Suite 300
    Carbondale, Illinois 62901, US
  • Phone: (618) 457-3009
  • Fax: (618) 457-3008

Office Address

  • Po Box 1105
    Indianapolis, Indiana 46206, US
  • Phone: (618) 457-5200
  • Fax: (618) 351-4821

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Carlos Rafael Gonzalez Rendon Information

The 1467688879 NPI number belongs to Carlos Rafael Gonzalez Rendon MD. Carlos Rafael Gonzalez Rendon is an Individual and working at 305 W Jackson St, Carbondale IL 62901, you can also contact him via phone number (618) 457-3009. Carlos Rafael Gonzalez Rendon's specialty is listed as Student in an Organized Health Care Education.

About NPI No.

  • NPI Number: 1467688879 (Individual)
  • Name: Carlos Rafael Gonzalez Rendon
  • Credential: M.D.
  • Pecos: 5597903468
  • Enrollment: I20140722002250
  • Individual: Physicians, dentists, nurses, chiropractors, pharmacists, physical therapists, etc.
  • Taxonomy

  • Taxonomy code: 390200000X
  • Taxonomy specialization: Student in an Organized Health Care Education
  • Primary taxonomy: No
  • License

  • License number: 11014829A
  • License state: Indiana State License
  • Enumeration date: June 1, 2009
  • Last Update date: April 8, 2014

Carlos Rafael Gonzalez Rendon is not a Sole Proprietor.

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