Individual
DR. RONALD C. TERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
503 3RD AVE SW, STATE CENTER, IA 50247-7719
(641) 483-2141
(641) 483-2148
Mailing address
503 3RD AVE SW, STATE CENTER, IA 50247-7719
(641) 483-2141
(641) 483-2148
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
19320
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0685214
—
IA
01
—
39922
BLUE SHIELD OF IA
IA
Enumeration date
10/21/2005
Last updated
12/03/2008
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