Basic Information
Provider Information
NPI: 1194986786
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOBBS
FirstName: RONALD
MiddleName: PAUL
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 140 S POWER RD
Address2: STE 105
City: MESA
State: AZ
PostalCode: 852065297
CountryCode: US
TelephoneNumber: 4804827100
FaxNumber: 4805660280
Practice Location
Address1: 65 MARIO CAPECCHI DR
Address2:  
City: SALT LAKE CITY
State: UT
PostalCode: 841320005
CountryCode: US
TelephoneNumber: 8015812352
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/17/2008
LastUpdateDate: 12/12/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000X8245756-1205UTY Allopathic & Osteopathic PhysiciansOphthalmology 

No ID Information.


Home