Provider Demographics
NPI:1386850816
Name:NADING, RONALD HOWARD JR
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:HOWARD
Last Name:NADING
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1348
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82602-1348
Mailing Address - Country:US
Mailing Address - Phone:307-262-5309
Mailing Address - Fax:
Practice Address - Street 1:315 S PARK ST
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-2835
Practice Address - Country:US
Practice Address - Phone:307-262-5309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman