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1316924046
RONALD KIZZIAR
PORTLAND, OR
NPI
1316924046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: OR MD21310)
Enumeration Date
2005-12-23
Last Update Date
2010-11-18
Business Address
-- RONALD KIZZIAR MD
545 NE 47TH AVE SUITE 215
PORTLAND, OR 97213-2238
Phone number: 503-731-2904
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Mailing Address
-- RONALD KIZZIAR MD
545 NE 47TH AVE SUITE 215
PORTLAND, OR 97213-2238
Phone number: 503-731-2904
Copy
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