Ronald Fuller in Davenport - Diagnostic Radiology

Ronald Fuller - NPI 1932169893

Ronald Fuller is a Diagnostic Radiology in Davenport, Iowa. Ronald Fuller practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Ronald Fuller is 1932169893. The last update date is 2021-05-05.

Ronald Fuller's current location address is 1970 E 53rd St, Davenport, Iowa. You can contact this provider via phone number 5633593949. The mailing address for Ronald Fuller is 1970 E 53rd St, Davenport, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronald Fuller
Address 1970 E 53rd St, Davenport, Iowa
Phone Number 5633593949
Fax Number
Sole Proprietor N
Credentials M.S.

NPI Number Detail

NPI Number 1932169893
Provider Enumeration Date 2006-03-24
Last Updated Date 2021-05-05

Provider Mailing Address Detail

Address 1970 E 53rd St
City Davenport
State Iowa (IA)
Post Code 528072710
Phone Number 5633593949
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 32081
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1187187 IA MEDICAID IOWA W/ ORA
K51666 IA MEDICARE FOR ORA
20765 IA BCBS OF IOWA W/ ORA
4187487 IA --
300121312 IA RAILROAD MEDICARE W/ ORA
32985 BCBS IA FOR RGPCSC
300095837 RR MDC FOR RGPCSC
20765 IA MEDICARE W/ ORA
300132299 RR MDC FOR RGIC LLC
49669 BCBS IA FOR RGIC LLC

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FAQs about Ronald Fuller

What is the unique 10-digit identification code issued to Ronald Fuller by the Centers for Medicare & Medicaid Services?

The Ronald Fuller has been assigned the NPI (National Provider Identifier) 1932169893 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Ronald Fuller located?

The Ronald Fuller is located at 1970 E 53Rd St, Davenport, IA 528072710.

What is Ronald Fuller's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Ronald Fuller is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.

On what date was the 1932169893 assigned to Ronald Fuller?

The Ronald Fuller was issued its 1932169893 on 2006-03-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Ronald Fuller most recently updated or revised?

The information pertaining to Ronald Fuller, including its address, specialty, and other relevant details, was last updated or revised on 2021-05-05.

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