Petr O Ruzicka in Mesa - Pediatric Surgery

Petr O Ruzicka - NPI 1689611832

Petr O Ruzicka is a Pediatric Surgery in Mesa, Arizona. Petr O Ruzicka practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Petr O Ruzicka is 1689611832. The last update date is 2011-03-30.

Petr O Ruzicka's current location address is 1432 S, Dobson, Mesa, Arizona. You can contact this provider via phone number 4804127400 and fax number 4804127500. The mailing address for Petr O Ruzicka is 1432 S, Dobson, Mesa, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Petr O Ruzicka
Address 1432 S, Dobson, Mesa, Arizona
Phone Number 4804127400
Fax Number 4804127500
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1689611832
Provider Enumeration Date 2006-05-31
Last Updated Date 2011-03-30

Provider Mailing Address Detail

Address 1432 S, Dobson
City Mesa
State Arizona (AZ)
Post Code 85202
Phone Number 4804127400
Fax Number 4804127500

Provider's Primary Taxonomy Detail

Speciality Pediatric Surgery
Taxonomy 2086S0120X
Licence No 41004
Definition:
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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FAQs about Petr O Ruzicka

What is the Petr O Ruzicka's 1689611832?

The Petr O Ruzicka's NPI (National Provider Identifier) Number is 1689611832. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Petr O Ruzicka's facilities are situated?

The facilities of Petr O Ruzicka are physically located at the following address: 1432 S, Dobson, Mesa, AZ, 85202.

What is Petr O Ruzicka's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Petr O Ruzicka is Pediatric Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0120X.

On what date did Petr O Ruzicka receive its 1689611832 assignment from the Centers for Medicare & Medicaid Services?

The Petr O Ruzicka was assigned its 1689611832 on 2006-05-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Petr O Ruzicka most recently updated or revised?

The details related to Petr O Ruzicka, including its address, specialty, and other relevant information, were last updated or revised on 2011-03-30.

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