Provider Demographics
NPI:1578131900
Name:HOWARD, RON (RT, OTC)
Entity Type:Individual
Prefix:MR
First Name:RON
Middle Name:
Last Name:HOWARD
Suffix:
Gender:M
Credentials:RT, OTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 FALCON CREST CIR
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-1663
Mailing Address - Country:US
Mailing Address - Phone:310-989-1905
Mailing Address - Fax:707-253-8533
Practice Address - Street 1:2360 1ST ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2239
Practice Address - Country:US
Practice Address - Phone:707-377-1007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-13
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARHT0041886247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist