Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1207 | CO |
NPI | 1124115712 |
---|---|
Provider Name | Dr. Ronald J Malpiede |
First Address | Wheat Ridge, CO 80033-4642 |
Second Address | Wheat Ridge, CO 80033-4642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2006 |
Last Update Date | 19/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U47694 | (02) | CO |