MEDICARE: AMY R RAMPLEY D.O.

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	174400000X	Specialist	4032	AZ
2	208000000X	Pediatrics Physician	4032	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134122492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY R RAMPLEY D.O.

Provider Business Mailing Address
First Line	:	26224 N. TATUM BLVD.
Second Line	:	STE. 1
City	:	PHOENIX
State	:	AZ
Zip	:	85050
Country	:	US
Telephone Number	:	480-563-1111
Fax Number	:	480-563-3044

Provider Business Practice Location Address
First Line	:	26224 N. TATUM BLVD.
Second Line	:	STE. 1
City	:	PHOENIX
State	:	AZ
Zip	:	85050
Country	:	US
Telephone Number	:	480-563-1111
Fax Number	:	480-563-3044

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	12/11/2008

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