Organization
RONALD G CONNOLLY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G CONNOLLY MD (OWNER)
(925) 974-7000
Entity
Organization
Contact information
Practice address
1776 YGNACIO VALLEY ROAD, SUITE 106, WALNUT CREEK, CA 94598
(925) 974-7000
(925) 974-7003
Mailing address
1776 YGNACIO VALLEY ROAD, SUITE 106, WALNUT CREEK, CA 94598
(925) 974-7000
(925) 974-7003
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G13521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G135210
—
CA
Enumeration date
12/01/2006
Last updated
11/07/2007
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