Organization Name: | RONALD V. BJARNASON DO INC |
NPI Number: | 1992875983 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD V. BJARNASON (PRESIDENT) |
Mailing Address: | 8397 N. Lander Ave Hilmar |
State: | CA US |
Postal Code: | 953241179 |
Phone Number: | 2096692655 |
Fax Number: | 2096692657 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 01/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A5161 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |