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General NPI Number Information
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NPI Number | 1104081314
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Entity Type | Individual
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Provider Name | RONALD L. CASE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4705 8TH AVENUE N.E.
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City | LACEY
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State | WA
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Zip | 98516-6301
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Country | US
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Telephone | 360-789-2441
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Fax | 360-491-4947
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Provider Business Mailing Address
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Address Line | P.O. BOX 2196
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City | OLYMPIA
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State | WA
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Zip | 98507-2196
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Country | US
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Telephone | 360-789-2441
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Fax | 360-491-4947
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | MD00011407
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00011407
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License Number State | WA
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