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NPI Code Detail

MEDICARE: DR. RICHARD J ROSENGARD D.O.

MEDICARE:  DR. RICHARD J ROSENGARD  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
12084P0800XPsychiatry Physician2056AZ

General Provider Information

NPI Number : 1861499907
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD J ROSENGARD D.O.
Provider Business Mailing Address
First Line : 10000 N 31ST AVE
Second Line : D-201
City : PHOENIX
State : AZ
Zip : 85051-9582
Country : US
Telephone Number : 602-943-3100
Fax Number : 602-943-3122
Provider Business Practice Location Address
First Line : 10000 N 31ST AVE
Second Line : D-201
City : PHOENIX
State : AZ
Zip : 85051-9582
Country : US
Telephone Number : 602-943-3100
Fax Number : 602-943-3122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 07/08/2007

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Directions to “ DR. RICHARD J ROSENGARD D.O.” Practice Location

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