Provider Demographics
NPI:1316339955
Name:MCGEE, RONALD LANCE (DC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LANCE
Last Name:MCGEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 NAVAJO BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:HOLBROOK
Mailing Address - State:AZ
Mailing Address - Zip Code:86025-1830
Mailing Address - Country:US
Mailing Address - Phone:928-297-0338
Mailing Address - Fax:928-297-0297
Practice Address - Street 1:2120 NAVAJO BLVD
Practice Address - Street 2:STE A
Practice Address - City:HOLBROOK
Practice Address - State:AZ
Practice Address - Zip Code:86025-1830
Practice Address - Country:US
Practice Address - Phone:928-297-0338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8452111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor