Provider Demographics
NPI:1336825868
Name:RSG HEALTHCARE, PLLC
Entity Type:Organization
Organization Name:RSG HEALTHCARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:GELOW
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:602-669-2585
Mailing Address - Street 1:PO BOX 39675
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85069-9675
Mailing Address - Country:US
Mailing Address - Phone:602-669-2585
Mailing Address - Fax:602-669-2586
Practice Address - Street 1:11209 N TATUM BLVD STE B185
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3091
Practice Address - Country:US
Practice Address - Phone:602-222-3333
Practice Address - Fax:877-991-7646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-27
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty