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Individual

WILLIAM V. RONAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
(858) 565-9441
Mailing address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
(858) 565-9441

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20A4743
CA
207LP3000X
Pediatric Anesthesiology Physician
Primary
20A4743
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0020A47430
BLUE SHIELD OF CA
CA
05
00AX47430
CA
Enumeration date
07/10/2006
Last updated
10/05/2009
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