Provider Demographics
NPI:1083178255
Name:RMD MEDICAL LLC
Entity Type:Organization
Organization Name:RMD MEDICAL LLC
Other - Org Name:YOUR ALLERGY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:D
Authorized Official - Last Name:WOOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-233-5905
Mailing Address - Street 1:177 W COTTONWOOD LN STE 6
Mailing Address - Street 2:
Mailing Address - City:CASA GRANDE
Mailing Address - State:AZ
Mailing Address - Zip Code:85122-2552
Mailing Address - Country:US
Mailing Address - Phone:520-233-5905
Mailing Address - Fax:520-233-5910
Practice Address - Street 1:177 W COTTONWOOD LN STE 6
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-2552
Practice Address - Country:US
Practice Address - Phone:520-233-5905
Practice Address - Fax:520-233-5910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty