MEDICARE: RONALD HOPE FOOTE II 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	207L00000X	Anesthesiology Physician	9240	NV

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	EQ462Z	OTHER	NV	PAC PTAN

General Provider Information

NPI Number	:	1942207444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD HOPE FOOTE II MD

Provider Business Mailing Address
First Line	:	PO BOX 81200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89180-1200
Country	:	US
Telephone Number	:	702-873-4567
Fax Number	:	702-873-0414

Provider Business Practice Location Address
First Line	:	2320 PASEO DEL PRADO
Second Line	:	# B-207
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-4358
Country	:	US
Telephone Number	:	702-873-4567
Fax Number	:

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

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	04/08/2011

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