MEDICARE: RONALD EDWARD VOORHEES MD, MPH

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	2083P0901X	Public Health & General Preventive Medicine Physician	85-115	NM

General Provider Information

NPI Number	:	1891919734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD EDWARD VOORHEES MD, MPH

Provider Business Mailing Address
First Line	:	1006 MILTON ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1229
Country	:	US
Telephone Number	:	412-244-9551
Fax Number	:

Provider Business Practice Location Address
First Line	:	1190 S SAINT FRANCIS DR
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-4173
Country	:	US
Telephone Number	:	505-827-2613
Fax Number	:	505-827-2530

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

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	07/08/2007

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