Individual
RONALD KIZZIAR
Active
Individual
RONALD KIZZIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD21310
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
226863
—
OR
05
—
8376576
—
WA
01
—
840126006
REGENCE BS/BC
OR
01
—
P0058316
RR MC
OR
Enumeration date
12/23/2005
Last updated
11/18/2010
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