Dr Rudolph Bustamante, MD | |
1856 E Florence Blvd, Casa Grande, AZ 85122-5303 | |
(520) 381-0380 | |
(520) 836-1826 |
Full Name | Dr Rudolph Bustamante |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1856 E Florence Blvd, Casa Grande, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124088968 | NPI | - | NPPES |
Z137312 | Other | MEDICARE | |
510984 | Medicaid | AZ | |
03-1881 | Other | MEDICARE | |
03-31815 | Other | MEDICARE | |
ZFQ31815 | Other | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 6500 (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Rudolph Bustamante, MD Po Box 10097, Casa Grande, AZ 85130-0020 Ph: (520) 836-3446 | Dr Rudolph Bustamante, MD 1856 E Florence Blvd, Casa Grande, AZ 85122-5303 Ph: (520) 381-0380 |
Noelle Kristina Kolessar, PA Pediatrics Medicare: Medicare Enrolled Practice Location: 1856 E Florence Blvd, Casa Grande, AZ 85122 Phone: 520-836-5036 | |
Dayaljibhai D. Patel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1856 E. Florence Blvd., Sun Life Center For Children, Casa Grande, AZ 85122 Phone: 520-836-5036 Fax: 520-316-0365 | |
Shilpa Mohan Ullikashi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1760 E Florence Blvd Ste 100, Casa Grande, AZ 85122 Phone: 520-374-6505 | |
Dr. Tina Yuling Liao, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1856 E Florence Blvd Ste 1, Casa Grande, AZ 85122 Phone: 520-836-5036 Fax: 520-316-0365 | |
Dr. Robert Joseph Kull, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1800 E Florence Blvd, Casa Grande, AZ 85222 Phone: 520-381-6559 Fax: 520-381-6019 | |
Dr. Scott Samuel Schnee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1760 E Florence Blvd, Suite 100, Casa Grande, AZ 85122 Phone: 520-421-7400 Fax: 520-421-7428 |