Individual provider · Type 1 NPI

Eduardo Dy Ronquillo, PA-C, PTA

Surgical Physician Assistant · Redlands, CA

NPI number 1891833786 Active

Practice location

1901 W Lugonia Ave, Suite 120
Redlands, CA 92374-9703

Fax (909) 557-1732

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant 225200000XAT 6459 (CA)
Surgical Physician Assistant Primary 363AS0400X52160 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1891833786

Eduardo Dy Ronquillo, PA-C, PTA's National Provider Identifier is 1891833786, issued on Feb 2, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Redlands, CA. The record was last updated on Dec 27, 2021.