Provider Demographics
NPI:1144396839
Name:DOBSON, RONALD COLE (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:COLE
Last Name:DOBSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8315 NE JUANITA DR
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3528
Mailing Address - Country:US
Mailing Address - Phone:206-718-4072
Mailing Address - Fax:206-215-6599
Practice Address - Street 1:8315 NE JUANITA DR
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3528
Practice Address - Country:US
Practice Address - Phone:206-718-4072
Practice Address - Fax:206-215-6599
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00014495207P00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1939107Medicaid
WA1939107Medicaid
WA171502Medicare ID - Type Unspecified