Ronald H Medlock | Elk Grove, CA • PECOS Search

Ronald H Medlock

Chiropractor

Chiropractic Providers

9230 Bruceville Rd, Suite 2, Elk Grove, CA 95758-5996

PECOS Enrollment

Based on the most recent information from CMS, provider Ronald H Medlock does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1871674804
Provider Type
Individual
Full Name
Medlock, Ronald H
Title
Dr.
Credential
DC

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/17/2006
Last Updated
7/8/2007

Contact Information

Practice Location

9230 Bruceville Rd, Suite 2, Elk Grove, CA 95758-5996

(916) 375-0969

Mailing Location

9230 Bruceville Rd, Suite 2, Elk Grove, CA 95758-5996

(916) 375-0969

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License DC22806 California