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NPI Code Detail

MEDICARE: DR. RONALD P TRIBLE JR. M.D., PH.D.

MEDICARE: DR. RONALD P TRIBLE JR. M.D., PH.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
1207RI0200XInfectious Disease Physician065065GA

General Provider Information

NPI Number : 1972761328
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD P TRIBLE JR. M.D., PH.D.
Provider Business Mailing Address
First Line : 6255 W SUNSET BLVD FL 21
Second Line :
City : LOS ANGELES
State : CA
Zip : 90028-7422
Country : US
Telephone Number : 323-860-5200
Fax Number : 323-467-7119
Provider Business Practice Location Address
First Line : 735 PIEDMONT AVE NE
Second Line :
City : ATLANTA
State : GA
Zip : 30308-1416
Country : US
Telephone Number : 404-588-4680
Fax Number : 833-689-2508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2008
Last Update Date : 09/18/2025

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