Provider Demographics
NPI:1265498828
Name:HOYAL, RALPH P (DPM)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:P
Last Name:HOYAL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:RALPH
Other - Middle Name:PAUL
Other - Last Name:HOYAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:1041 4TH ST
Mailing Address - Street 2:STE B
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95404-4329
Mailing Address - Country:US
Mailing Address - Phone:707-546-2107
Mailing Address - Fax:707-573-0315
Practice Address - Street 1:1041 4TH ST
Practice Address - Street 2:STE B
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-4329
Practice Address - Country:US
Practice Address - Phone:707-546-2107
Practice Address - Fax:707-573-0315
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-24
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE1879213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E18790Medicaid
CA000E18790Medicare PIN
CAT11087Medicare UPIN
CA000E18790Medicaid