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Contact Information

RONALD V DORN III, MD
1055 N CURTIS ROAD
BOISE, ID83706
 Phone: 208-367-3131
 Fax: 208-367-4860
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for RONALD V DORN III · (Male)

NPI # 1780790279
Status Active
Credentials MD
Entity Individual
Enumeration date 08/21/2006
Last updated 10/02/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M4653
  • ID Medicaid 004085400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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