Individual
DR. RONALD D FUDALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC,DACAN
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
1317
OH
111NN0400X
Neurology Chiropractor
Primary
CH10979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206217
ANTHEM
—
01
—
2501109
AETNA
—
01
—
44-00470
UNITED HEALTHCARE
—
Enumeration date
08/31/2006
Last updated
02/05/2015
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