Individual
RONALD DOUGLAS SHIELL
Active
Individual
RONALD DOUGLAS SHIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
G70359
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
G70359
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G703592
INDIVIDUAL PTAN NO. CA.
CA
01
—
070016367
RR MEDICARE FOR NORTHERN CALIF
CA
01
—
P00369772
RAILROAD MEDICARE
AZ
Enumeration date
05/18/2006
Last updated
03/16/2016
Update your record
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