Provider Demographics
NPI:1871554923
Name:HOOLEY, RONALD LEE (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LEE
Last Name:HOOLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6120 W BELL RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-3781
Mailing Address - Country:US
Mailing Address - Phone:602-978-9053
Mailing Address - Fax:602-443-4570
Practice Address - Street 1:6120 W BELL RD
Practice Address - Street 2:SUITE 110
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-3781
Practice Address - Country:US
Practice Address - Phone:602-978-9053
Practice Address - Fax:602-443-4570
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2013-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ15759207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZE34938Medicare UPIN