Individual
DR. PAOLO G RONCALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON MEDICAL CENTER, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 522-2917
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON MEDICAL CENTER, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 522-2917
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
120765
OH
Other
Enumeration date
10/31/2005
Last updated
03/18/2015
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