Mr. Ty Sanders Ruddell is a Mesa, Arizona based male chiropractor with 25 years of experience in General Chiropractor. He completed his graduation from Other in 1999. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Ty Sanders Ruddell as General Chiropractor is 6023 in Arizona. Mr. Ty Sanders Ruddell is qualified as a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Complete Profile:
Mr. Ty Sanders Ruddell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Experience:
25+ years
Medical School Attended:
Other
Graduation Year:
1999
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
4864 E Baseline Rd, Suite #105, Mesa, Arizona, 85206-4629
Phone:
480-558-1900
Fax:
480-633-6086
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.
PAC ID:
9032137062
Enrollment ID:
I20051108000362
NPI Number:
1982767349
NPI Enumeration Date:
18 Dec, 2006
NPI Last Update On:
27 Apr, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Ty Sanders Ruddell are as mentioned below.
License Number
Specialization
State
Status
6023
Chiropractor
Arizona
Primary
3661
Sports Physician
Arizona
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Ty Sanders Ruddell is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Everest Medical Group, Inc. (8426309477)
2
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4864 E Baseline Rd, Suite #105 Mesa, Arizona
Zip:
85206-4629
Phone Number:
480-558-1900
Fax Number:
480-633-6086
Patients can reach Mr. Ty Sanders Ruddell at 4864 E Baseline Rd, Suite #105, Mesa, Arizona or can call to book an appointment on 480-558-1900. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.