Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 18436 | AZ |
N | 207XS0117X | Orthopaedic Spine Surgeon | 18436 | AZ |
NPI | 1356316111 |
---|---|
Provider Name | Nicholas A Ransom |
First Address | Tucson, AZ 85745-2683 |
Second Address | Tucson, AZ 85745-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 17/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
28666801 | (05) | AZ |
A49843 | (02) |