Provider Demographics
NPI:1942243324
Name:KOE, RONALD CURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:CURTIS
Last Name:KOE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1710 W HORIZON RIDGE PKWY
Mailing Address - Street 2:STE 120
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89012
Mailing Address - Country:US
Mailing Address - Phone:702-990-4555
Mailing Address - Fax:702-990-4554
Practice Address - Street 1:1710 W. HORIZON RIDGE PKWY
Practice Address - Street 2:STE 120
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89012
Practice Address - Country:US
Practice Address - Phone:702-990-4555
Practice Address - Fax:702-990-4554
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV8231207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV33959Medicare PIN
NVF04048Medicare UPIN