Individual
DR. RONALD T GENOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1554 ROWELL DR, LYONS, CO 80540-8332
(303) 823-6619
(303) 823-6909
Mailing address
1554 ROWELL DR, LYONS, CO 80540-8332
(303) 589-7881
(303) 823-6909
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31133
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01311331
—
CO
Enumeration date
12/14/2005
Last updated
06/02/2010
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