Provider Demographics
NPI:1376636522
Name:ANDELORA, RONALD F (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:F
Last Name:ANDELORA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6831 N ORACLE RD
Mailing Address - Street 2:SUITE 133
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-4266
Mailing Address - Country:US
Mailing Address - Phone:520-887-6550
Mailing Address - Fax:520-887-5838
Practice Address - Street 1:6831 N ORACLE RD
Practice Address - Street 2:SUITE 133
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-4266
Practice Address - Country:US
Practice Address - Phone:520-887-6550
Practice Address - Fax:520-887-5838
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ 5184111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZDC5184Medicare PIN