Individual
RONALD C ONLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
416 E WASHINGTON AVE, JONESBORO, AR 72401-3108
(870) 333-5476
(870) 333-5475
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-3492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L3053
TX
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
E-11924
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260224705
TAX IDENTIFICATION
TX
01
—
70121701
DPS
TX
Enumeration date
12/27/2005
Last updated
03/07/2023
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