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NPI Code Detail

MEDICARE: REX H RAGSDALE M.D.

MEDICARE:   REX H RAGSDALE  M.D.
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
1207QG0300XGeriatric Medicine (Family Medicine) Physician49980AZ

General Provider Information

NPI Number : 1609064609
Entity Type Code : Individual
Provider Name (Legal Business Name) : REX H RAGSDALE M.D.
Provider Business Mailing Address
First Line : 33 W TAMARISK ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85041-2422
Country : US
Telephone Number : 602-344-6600
Fax Number : 602-655-9660
Provider Business Practice Location Address
First Line : 33 W TAMARISK ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85041-2422
Country : US
Telephone Number : 602-344-6600
Fax Number : 602-655-9660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2007
Last Update Date : 07/06/2022

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Directions to “ REX H RAGSDALE M.D.” Practice Location

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