Provider Demographics
NPI:1174774285
Name:MORRO, RONALD P (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:P
Last Name:MORRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 WINCHUCK RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BROOKINGS
Mailing Address - State:OR
Mailing Address - Zip Code:97415-8311
Mailing Address - Country:US
Mailing Address - Phone:541-469-5240
Mailing Address - Fax:541-469-3540
Practice Address - Street 1:315 WINCHUCK RIVER RD
Practice Address - Street 2:
Practice Address - City:BROOKINGS
Practice Address - State:OR
Practice Address - Zip Code:97415-8311
Practice Address - Country:US
Practice Address - Phone:541-469-5240
Practice Address - Fax:541-469-3540
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGFE111822085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging