Individual
DR. ROMULO LAURETA PARUNGAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8600
Mailing address
2073 HONEY CREEK RD SW, CONYERS, GA 30094-3423
(678) 852-6004
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16121
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00085566R-0
—
GA
Enumeration date
01/03/2007
Last updated
10/21/2019
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