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NPI Code Detail

MEDICARE: RONALD J MALPIEDE D.C., P.C.

MEDICARE: RONALD J MALPIEDE D.C., P.C.
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
1111NX0800XOrthopedic Chiropractor1207CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11124115712OTHERCOTYPE 1 NPI

General Provider Information

NPI Number : 1760739767
Entity Type Code : Organization
Provider Name (Legal Business Name) : RONALD J MALPIEDE D.C., P.C.
Provider Business Mailing Address
First Line : 4045 WADSWORTH BLVD STE 300
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-4626
Country : US
Telephone Number : 303-424-9888
Fax Number :
Provider Business Practice Location Address
First Line : 4045 WADSWORTH BLVD STE 300
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-4626
Country : US
Telephone Number : 303-424-9888
Fax Number :
Authorized Official
Title or Position : DOCTOR OF CHIROPRACTIC
Name : DR. RONALD J MALPIEDE
Credential : D.C.
Telephone Number : 303-424-9888
Provider Enumeration Date : 08/08/2012
Last Update Date : 09/19/2012

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