Individual
DR. RONALD PAUL MAGEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1899 EIDER CT, TALLAHASSEE, FL 32308-4537
(850) 878-5143
(850) 942-6622
Mailing address
1899 EIDER CT, KWB PATHOLOGY ASSOCIATES, TALLAHASSEE, FL 32308-4537
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2010-00104
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1504Q
BLUE CROSS BLUE SHIELD
FL
01
—
158U0
BCBS NC
NC
05
—
5915196
—
NC
Enumeration date
07/24/2007
Last updated
07/09/2015
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