Robert Fitzgerald Rider in Santa Cruz - Diagnostic Radiology

Robert Fitzgerald Rider - NPI 1790799534

Robert Fitzgerald Rider is a Diagnostic Radiology in Santa Cruz, California. Robert Fitzgerald Rider practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Robert Fitzgerald Rider is 1790799534. The last update date is 2007-07-08.

Robert Fitzgerald Rider's current location address is 1661 Soquel Drive, Santa Cruz, California. You can contact this provider via phone number 8314761542 and fax number 8314648977. The mailing address for Robert Fitzgerald Rider is 1661 Soquel Drive, Santa Cruz, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert Fitzgerald Rider
Address 1661 Soquel Drive, Santa Cruz, California
Phone Number 8314761542
Fax Number 8314648977
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790799534
Provider Enumeration Date 2006-07-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1661 Soquel Drive
City Santa Cruz
State California (CA)
Post Code 950651709
Phone Number 8314761542
Fax Number 8314648977

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No G10718
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G107180 CA --

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FAQs about Robert Fitzgerald Rider

What is the unique 10-digit identification code issued to Robert Fitzgerald Rider by the Centers for Medicare & Medicaid Services?

The Robert Fitzgerald Rider has been assigned the NPI (National Provider Identifier) 1790799534 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Robert Fitzgerald Rider?

The Robert Fitzgerald Rider is situated at 1661 Soquel Drive, in the city of Santa Cruz, state of CA, with the zip code 950651709.

What is the Robert Fitzgerald Rider's area of specialization and corresponding taxonomy classification?

The Robert Fitzgerald Rider's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.

On what date did the Robert Fitzgerald Rider receive the assignment of its 1790799534 from the Centers for Medicare & Medicaid Services?

The Robert Fitzgerald Rider was issued its 1790799534 by the Centers for Medicare & Medicaid Services on 2006-07-28.

When was the information regarding Robert Fitzgerald Rider most recently updated?

The details pertaining to the Robert Fitzgerald Rider, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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