Individual
EIEL E RAGSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3536 W GLENDALE AVE, PHOENIX, AZ 85051-8395
(480) 618-0177
(620) 371-2243
Mailing address
PO BOX 746093, ATLANTA, GA 30374-6093
(888) 702-0617
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
205682
LA
207Q00000X
Family Medicine Physician
Primary
58861
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038130
—
LA
Enumeration date
04/02/2010
Last updated
06/12/2025
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