Individual
MARK V RIPPERDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202
(480) 456-9500
(480) 820-7623
Mailing address
PO BOX 7127, PHOENIX, AZ 85011-7127
(480) 456-9500
(480) 820-2623
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
32297
AZ
208000000X
Pediatrics Physician
32297
AZ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
32297
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
839722
—
AZ
Enumeration date
12/13/2005
Last updated
07/31/2023
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