Doctor Name: | RONALD F NICOL |
NPI Number: | 1033119664 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD00024645 |
Business Practice Address: | 533 S 336th St Ste C Federal Way, WA - 980036329 |
Business Phone Number: | 2536611700 |
Business Fax Number: | 2536614565 |
Mailing Address: | Po Box 26730, FEDERAL WAY |
State: | WA |
Postal Code: | 980933730 |
Phone Number: | 2536611700 |
Fax Number: | 2536614565 |
NPI Enumeration Date: | 07/26/2005 |
NPI Last Update Date: | 01/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085U0001X |
License Number: | MD00024645 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Ultrasound |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |