Provider Demographics
NPI:1063867141
Name:MATTHIAS, RONALD F JR (ND)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:F
Last Name:MATTHIAS
Suffix:JR
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 E PRINCESS DR
Mailing Address - Street 2:UNIT 2163
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5806
Mailing Address - Country:US
Mailing Address - Phone:919-628-0077
Mailing Address - Fax:
Practice Address - Street 1:15170 N HAYDEN RD
Practice Address - Street 2:SUITE 6B
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2571
Practice Address - Country:US
Practice Address - Phone:480-779-7755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16-1532175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath