Healthcare Provider Details

I. General information

NPI: 1164491122
Provider Name (Legal Business Name): FRANCISCO MIGUEL RALLS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 01/08/2024
Certification Date: 01/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 E WILLIAMS FIELD RD STE 204
GILBERT AZ
85295-1825
US

IV. Provider business mailing address

8330 E HARTFORD DR STE 100
SCOTTSDALE AZ
85255-7205
US

V. Phone/Fax

Practice location:
  • Phone: 480-745-3547
  • Fax: 480-745-3548
Mailing address:
  • Phone: 480-745-3547
  • Fax: 480-745-3548

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberMD2008-0782
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberMD2008-0782
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD2008-0782
License Number StateNM
# 4
Primary TaxonomyN
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License NumberMD2008-0782
License Number StateNM
# 5
Primary TaxonomyY
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number61241
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: