MEDICARE: RAMPERTAB PODIATRY ONSITE PODIATRY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1528742731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAMPERTAB PODIATRY ONSITE PODIATRY SERVICES

Provider Business Mailing Address
First Line	:	10007 N 1ST AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-2488
Country	:	US
Telephone Number	:	623-451-8323
Fax Number	:

Provider Business Practice Location Address
First Line	:	10007 N 1ST AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-2488
Country	:	US
Telephone Number	:	623-451-8323
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEO RAMPERTAB
Credential	:	DPM
Telephone Number	:	623-451-8323

Provider Enumeration Date	:	06/09/2023
Last Update Date	:	02/04/2026

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