MEDICARE: RT PLANS

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	2085R0205X	Radiological Physics Physician	6109	NV

General Provider Information

NPI Number	:	1194016063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RT PLANS

Provider Business Mailing Address
First Line	:	18 SANDSTONE CV
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84060-6869
Country	:	US
Telephone Number	:	877-779-7973
Fax Number	:	877-767-0907

Provider Business Practice Location Address
First Line	:	18 SANDSTONE CV
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84060-6869
Country	:	US
Telephone Number	:	877-779-7973
Fax Number	:	877-767-0907

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RITCHIE N STEVENS
Credential	:	M.D.
Telephone Number	:	877-779-7973

Provider Enumeration Date	:	04/27/2011
Last Update Date	:	04/27/2011

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