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1689647745

NPI Code Detail

MEDICARE: ROBERT JOSEPH RANKEL MD

MEDICARE: ROBERT JOSEPH RANKEL MD

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	208600000X	Surgery Physician	11680	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
2	AZ0702350	OTHER	AZ	BLUE CROSS
3	1Z2164	OTHER	AZ	HEALTHNET

General Provider Information

NPI Number	:	1689647745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT JOSEPH RANKEL MD

Provider Business Mailing Address
First Line	:	PO BOX 83270
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85071-3270
Country	:	US
Telephone Number	:	602-942-6166
Fax Number	:	602-942-6188

Provider Business Practice Location Address
First Line	:	5555 W THUNDERBIRD RD
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85306-4622
Country	:	US
Telephone Number	:	602-942-6166
Fax Number	:	602-942-6188

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

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	07/09/2007

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Directions to “ ROBERT JOSEPH RANKEL MD” Practice Location

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