| Rmd Medical Llc | |
|
177 W Cottonwood Ln Ste 6 Casa Grande AZ 85122-2552 | |
| (520) 233-5905 | |
| (520) 233-5910 |
| Full Name | Rmd Medical Llc |
|---|---|
| Speciality | Allergy & Immunology |
| Location | 177 W Cottonwood Ln Ste 6, Casa Grande, Arizona |
| Authorized Official Name and Position | Jeffrey D Wooley (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5202335905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rmd Medical Llc 177 W Cottonwood Ln Ste 6 Casa Grande AZ 85122-2552 Ph: (520) 233-5905 | Rmd Medical Llc 177 W Cottonwood Ln Ste 6 Casa Grande AZ 85122-2552 Ph: (520) 233-5905 |
| NPI Number | 1083178255 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 05/31/2022 |
| Medicare PECOS PAC ID | 0941533061 |
|---|---|
| Medicare Enrollment ID | O20190611003182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083178255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207K00000X | Allergy & Immunology | (* (Not Available)) | Primary |
| Provider Name | Christopher J Labban |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134165848 PECOS PAC ID: 7618865791 Enrollment ID: I20040309001334 |
| Provider Name | Keyvan Koochek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902855513 PECOS PAC ID: 7911909494 Enrollment ID: I20070213000332 |
| Provider Name | Natalya I Weigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427500214 PECOS PAC ID: 3173802006 Enrollment ID: I20161117001470 |
| Provider Name | Victoria Lifuka Ndambasha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982196234 PECOS PAC ID: 1153666359 Enrollment ID: I20181217001121 |
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