Healthcare Provider Details

I. General information

NPI: 1336123256
Provider Name (Legal Business Name): RONALD L CYPHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 08/04/2021
Certification Date: 08/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5375 WILLIAM FLYNN HWY
GIBSONIA PA
15044-9666
US

IV. Provider business mailing address

5375 WILLIAM FLYNN HWY
GIBSONIA PA
15044-9666
US

V. Phone/Fax

Practice location:
  • Phone: 724-449-3245
  • Fax: 724-449-3233
Mailing address:
  • Phone: 724-449-3245
  • Fax: 724-449-3233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD025312E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: