Dr. Rudolph Bustamante
M.D. | Pediatrics | Male
Dr. Rudolph Bustamante, M.D. is a Casa Grande, Arizona based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Rudolph Bustamante is
1856 E Florence Blvd, Casa Grande, Arizona - 85122-5303. He can be contacted on phone at
520-381-0380 and fax number 520-836-1826.
Dr. Rudolph Bustamante is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Rudolph Bustamante is
1124088968 which was assigned by NPPES on 24 Mar, 2006 and it was last updated on 14 Oct, 2011.
Dr. Rudolph Bustamante license number is
6500 for Pediatrics (208000000X) in Arizona.
Dr. Rudolph Bustamante is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Rudolph Bustamante basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Rudolph Bustamante |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Rudolph Bustamante address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1856 E Florence Blvd
Casa Grande, AZ, 85122-5303
United States |
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| Phone Number : | 520-381-0380 |
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| Fax Number : | 520-836-1826 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124088968 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Mar, 2006 |
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| Last Updated On : | 14 Oct, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Rudolph Bustamante are as mentioned. Primary taxonomy code for Dr. Rudolph Bustamante, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 6500 | AZ |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Rudolph Bustamante such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| ZFQ31815 | Other | | MEDICARE |
| 510984 | MEDICAID | AZ | |
| 03-31815 | Other | | MEDICARE |
| Z137312 | Other | | MEDICARE |
| 03-1881 | Other | | MEDICARE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 10097
Casa Grande, AZ, 85130-0020
United States |
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| Phone Number : | 520-836-3446 |
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| Fax Number : | 520-836-8807 |
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Business Location:
Patients can refer following map for directions to
Dr. Rudolph Bustamante practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.