Individual
RONALD HIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3050 MONTVALE DR, STE A, SPRINGFIELD, IL 62704-6924
(720) 848-0000
(720) 848-0000
Mailing address
3050 MONTVALE DR, STE A, SPRINGFIELD, IL 62704-6924
(720) 848-0000
(720) 848-0000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036137908
IL
2085R0202X
Diagnostic Radiology Physician
2015010871
MO
2085R0202X
Diagnostic Radiology Physician
DR.0053714
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2009
Last updated
11/19/2020
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