Rucker, Creed Monroe
Rucker, Creed Monroe is an individual health care provider with primary practice located at 677 N Wilmot Rd , Tucson AZ 85711-2701. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Rucker, Creed Monroe can be contacted via phone (520) 795-2889.Contact Information
Primary practice address
677 N Wilmot Rd
Tucson AZ 85711-2701
Phone: (520) 795-2889
Fax: (520) 795-6321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 36409 | Arizona |
| Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging | 2085D0003X | 36409 | Arizona |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 36409 | Arizona |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ME147128 | Florida |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 36409 | Arizona |
Profile Details
| NPI number | 1760428312 |
|---|---|
| LBN Legal business name | Rucker, Creed Monroe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Feb 19th, 2024 - about 10 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760428312 | NPPES |
| Arizona | Other | P01479085 | PHYSICIAN MEDICARE RAILROAD PTAN |
| Arizona | MEDICAID | 185947 | PHYSICIAN MEDICARE RAILROAD PTAN |
| Arizona | Other | ZWCBBM | PHYSICIAN MEDICARE RAILROAD PTAN |
| Arizona | Other | 1760428312 | PHYSICIAN MEDICARE RAILROAD PTAN |
| Arizona | Other | 005472 | PHYSICIAN MEDICARE RAILROAD PTAN |
| Arizona | MEDICAID | 121242800 | PHYSICIAN MEDICARE RAILROAD PTAN |
| Arizona | Other | CS7943 | PHYSICIAN MEDICARE RAILROAD PTAN |
Popular Providers
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Pergam, Carl J
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677 N Wilmot Rd , Tucson AZ 85711-2701