National Provider Identifier
Ronald Dale Klizek, MD
Ronald Dale Klizek, MD is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Jamestown, NY and a listed phone number of (716) 664-9731.
Profile Overview
- NPI
- 1700873668
- Provider Type
- Individual
- Primary Specialty
- Diagnostic Radiology Physician
- Enumeration Date
- October 05, 2005
- Last Updated
- December 12, 2013
Practice Location
- 15 S Main St Ste 250
- Jamestown, NY 14701-6627
Phone: (716) 664-9731
Mailing Address
- 15 S Main St Ste 250
- P O Box 788
- Jamestown, NY 14701-6627
Specialties
- Diagnostic Radiology Physician (2085R0202X)
Full Record
- NPI
- 1700873668
- Entity Type
- Individual
- Last Name
- Klizek
- First Name
- Ronald
- Middle Name
- Dale
- Name Prefix
- Mr.
- Credential
- MD
- Mailing Street Address
- 15 S Main St Ste 250
- Mailing Address Line 2
- P O Box 788
- Mailing City
- Jamestown
- Mailing State
- NY
- Mailing ZIP Code
- 14701-6627
- Mailing Country
- US
- Mailing Phone
- (716) 664-9731
- Mailing Fax
- (716) 664-9160
- Practice Street Address
- 15 S Main St Ste 250
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-6627
- Practice Country
- US
- Practice Phone
- (716) 664-9731
- Practice Fax
- (716) 664-9160
- Enumeration Date
- October 05, 2005
- Last Updated
- December 12, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Diagnostic Radiology Physician (2085R0202X)
- Other Identifiers
- 00706643 (NY), 144625 (NY, Workers Compensation), 300016615 (NY, Railroad Medicare)