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NPI Code Detail

MEDICARE: DR. RONALD M PLOUCHA DC

MEDICARE: DR. RONALD M PLOUCHA DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor9443PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033117122
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD M PLOUCHA DC
Provider Business Mailing Address
First Line : 1927 E CARSON ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15203-1835
Country : US
Telephone Number : 412-381-4422
Fax Number : 412-381-8503
Provider Business Practice Location Address
First Line : 1927 E CARSON ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15203-1835
Country : US
Telephone Number : 412-381-4422
Fax Number : 412-381-8503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 07/08/2007

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Directions to “ DR. RONALD M PLOUCHA DC” Practice Location

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