Healthcare Provider Details

I. General information

NPI: 1932326758
Provider Name (Legal Business Name): RACHEL CRAMTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 02/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N CAMPBELL AVE THE UNIVERSITY OF ARIZONA DEPARTMENT OF PEDIATRICS
TUCSON AZ
85724-5073
US

IV. Provider business mailing address

1501 N CAMPBELL AVE THE UNIVERSITY OF ARIZONA DEPARTMENT OF PEDIATRICS
TUCSON AZ
85724-5073
US

V. Phone/Fax

Practice location:
  • Phone: 520-626-6614
  • Fax:
Mailing address:
  • Phone: 520-626-6614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberLP00044
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number13896
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: