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Ronald B Killian

  • Male

Medical Specialty

Professional ID

  • NPI: 1205813565
  • PECOS ID: 2264489608
  • Enrollment ID: I20080303000117
  • Credential(MD, DO, DPM): DPM
  • Medical School: California College Podiatric Medicine
  • Medical School Graduation Year: 1999

Hospital Service

  • Hospital CCN1: 030069
  • Business Name (LBN)1: Havasu Regional Medical Center
  • Hospital CCN2: 031317
  • Business Name (LBN)2: La Paz Regional Hospital

Medical Practices

  • Organization Name: Lakeside Orthopedic Institute Llc
  • Group Practice ID assigned by PECOS: 1052316445
  • Number of Group Practice member: 12

Location

  • Address1: 1016 S Joshua Blvd S
  • Address2: Lakeside Physical Therapy Rehab And Sports Medicin
  • City: Parker
  • State: Arizona
  • Zip Code: 85344
  • Phone Number: (928)669-6555

Location

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):