Individual
DR. RONALDO V DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 CAMBRIDGE COURT, WETUMPKA, AL 36093
(334) 567-5626
(334) 567-0855
Mailing address
41 CAMBRIDGE COURT, WETUMPKA, AL 36093
(334) 567-5626
(334) 567-0855
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00018352
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051553029
—
AL
01
—
51553029
BLUE CROSS
AL
Enumeration date
01/10/2007
Last updated
01/26/2010
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