Provider Demographics
NPI:1134122492
Name:RAMPLEY, AMY R (DO)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:R
Last Name:RAMPLEY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26224 N. TATUM BLVD.
Mailing Address - Street 2:STE. 1
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050
Mailing Address - Country:US
Mailing Address - Phone:480-563-1111
Mailing Address - Fax:480-563-3044
Practice Address - Street 1:26224 N. TATUM BLVD.
Practice Address - Street 2:STE. 1
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050
Practice Address - Country:US
Practice Address - Phone:480-563-1111
Practice Address - Fax:480-563-3044
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4032174400000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ881913Medicaid