Provider Demographics
NPI:1720127996
Name:HAROLD, RALPH ERNEST (MD)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:ERNEST
Last Name:HAROLD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:22710 SW HAMPTON CT
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64015-9616
Mailing Address - Country:US
Mailing Address - Phone:816-808-2465
Mailing Address - Fax:913-562-5004
Practice Address - Street 1:22710 SW HAMPTON CT
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64015-9616
Practice Address - Country:US
Practice Address - Phone:816-808-2465
Practice Address - Fax:913-562-5004
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2004003807207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology