Provider Demographics
NPI:1144242652
Name:MORTON, RONALD LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LEE
Last Name:MORTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1001 TOWER WAY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1597
Mailing Address - Country:US
Mailing Address - Phone:661-327-4499
Mailing Address - Fax:661-327-4381
Practice Address - Street 1:1001 TOWER WAY
Practice Address - Street 2:SUITE 150
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1597
Practice Address - Country:US
Practice Address - Phone:661-327-4499
Practice Address - Fax:661-327-4381
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2012-08-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG30637207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G306370Medicaid
CAZZZ12568ZMedicare ID - Type Unspecified
CA00G306370Medicaid