Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 0101265694 | VA |
N | 207Q00000X | Family Doctor | 0116030819 | VA |
Y | 207Q00000X | Family Doctor | DR.0065226 | CO |
NPI | 1003346305 |
---|---|
Provider Name | Dr. Ronald S.b. Doria |
First Address | Colorado Springs, CO 80913-4613 |
Second Address | Colorado Springs, CO 80913-4613 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2017 |
Last Update Date | 16/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0116030819 | VIRGINIA (01) | VA |
029253 | KAISER COMMERCIAL NUMBER (01) | CO |