Provider Demographics
NPI:1073817367
Name:HARRISON, RONALD M (RCIS)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:M
Last Name:HARRISON
Suffix:
Gender:M
Credentials:RCIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6113 GLORYVINE DR
Mailing Address - Street 2:APT.302-13
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23234-6923
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6113 GLORYVINE DR
Practice Address - Street 2:APT.302-13
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23234-6923
Practice Address - Country:US
Practice Address - Phone:804-201-9099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-01
Last Update Date:2011-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XC2901XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularCardiovascular Invasive Specialist