Russell W Roderick in Phoenix - General Practice
Russell W Roderick - NPI 1912013020
Russell W Roderick is a General Practice in Phoenix, Arizona. Russell W Roderick practices all healthcare services and medical treatments related to General Practice. The NPI Number for Russell W Roderick is 1912013020. The last update date is 2007-07-08.
Russell W Roderick's current location address is 26232 N Tatum Blvd, Phoenix, Arizona. You can contact this provider via phone number 4805150404 and fax number 4805152587. The mailing address for Russell W Roderick is 26232 N Tatum Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Russell W Roderick |
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Address | 26232 N Tatum Blvd, Phoenix, Arizona |
Phone Number | 4805150404 |
Fax Number | 4805152587 |
Sole Proprietor | N |
Credentials | D.M.D |
NPI Number Detail
NPI Number | 1912013020 |
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Provider Enumeration Date | 2006-08-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 26232 N Tatum Blvd |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 850507501 |
Phone Number | 4805150404 |
Fax Number | 4805152587 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 4906 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identifier code issued to Russell W Roderick by the Centers for Medicare & Medicaid Services?
The Russell W Roderick has been assigned the NPI (National Provider Identifier) 1912013020. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Russell W Roderick is located?
The Russell W Roderick is situated at the following address: 26232 N Tatum Blvd, Phoenix, AZ, 850507501.
What is the area of specialization for Russell W Roderick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Russell W Roderick is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912013020 to Russell W Roderick?
The Centers for Medicare & Medicaid Services originally issued the 1912013020 to Russell W Roderick on 2006-08-22.
As of what date was the information regarding Russell W Roderick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Russell W Roderick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.