Rodney Glen Courson in Kingman - Surgery
Rodney Glen Courson - NPI 1053411769
Rodney Glen Courson is a Surgery in Kingman, Arizona. Rodney Glen Courson practices all healthcare services and medical treatments related to Surgery. The NPI Number for Rodney Glen Courson is 1053411769. The last update date is 2012-02-28.
Rodney Glen Courson's current location address is 3880 Stockton Hill Rd Ste 103128, Kingman, Arizona. You can contact this provider via phone number 9282791387 and fax number 9287577272. The mailing address for Rodney Glen Courson is 3880 Stockton Hill Rd Ste 103128, Kingman, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rodney Glen Courson |
|---|---|
| Address | 3880 Stockton Hill Rd Ste 103128, Kingman, Arizona |
| Phone Number | 9282791387 |
| Fax Number | 9287577272 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053411769 |
|---|---|
| Provider Enumeration Date | 2006-09-23 |
| Last Updated Date | 2012-02-28 |
Provider Mailing Address Detail
| Address | 3880 Stockton Hill Rd Ste 103128 |
|---|---|
| City | Kingman |
| State | Arizona (AZ) |
| Post Code | 864090595 |
| Phone Number | 9282791387 |
| Fax Number | 9287577272 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 30616 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 726044 | AZ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Rodney Glen Courson by the Centers for Medicare & Medicaid Services (CMS)?
The Rodney Glen Courson has been assigned the NPI (National Provider Identifier) 1053411769. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Rodney Glen Courson located?
The Rodney Glen Courson is located at 3880 Stockton Hill Rd Ste 103128, Kingman, AZ 864090595.
What is Rodney Glen Courson's area of expertise and its corresponding taxonomy classification?
The Rodney Glen Courson's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053411769 to Rodney Glen Courson?
The Centers for Medicare & Medicaid Services originally issued the 1053411769 to Rodney Glen Courson on 2006-09-23.
As of what date were the details related to Rodney Glen Courson most recently updated or revised?
The information pertaining to Rodney Glen Courson, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-28.
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