MEDICARE: RACHEL CRAMTON M.D.

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	208000000X	Pediatrics Physician	LP00044	RI
2	208000000X	Pediatrics Physician	13896	NH

General Provider Information

NPI Number	:	1932326758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL CRAMTON M.D.

Provider Business Mailing Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:	THE UNIVERSITY OF ARIZONA DEPARTMENT OF PEDIATRICS
City	:	TUCSON
State	:	AZ
Zip	:	85724-5073
Country	:	US
Telephone Number	:	520-626-6614
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:	THE UNIVERSITY OF ARIZONA DEPARTMENT OF PEDIATRICS
City	:	TUCSON
State	:	AZ
Zip	:	85724-5073
Country	:	US
Telephone Number	:	520-626-6614
Fax Number	:

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

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	02/01/2012

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