Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | IL |
NPI | 1013920289 |
---|---|
Provider Name | Dr. Ronald Curtis Markarian |
First Address | Swansea, IL 62226-2969 |
Second Address | Swansea, IL 62226-2969 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 08/07/2007 |