MEDICARE: DR. RONALD JOHN ORMAN M.D.

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
1	207N00000X	Dermatology Physician	4039	MT

General Provider Information

NPI Number	:	1821394826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD JOHN ORMAN M.D.

Provider Business Mailing Address
First Line	:	5266 ROCKY MOUNTAIN BLVD
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59106-1042
Country	:	US
Telephone Number	:	406-652-1118
Fax Number	:

Provider Business Practice Location Address
First Line	:	5266 ROCKY MOUNTAIN BLVD
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59106-1042
Country	:	US
Telephone Number	:	406-652-1118
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2011
Last Update Date	:	02/08/2011

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