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DR. RODNEY GLEN COURSON M.D. NPI 1053411769


NPI Information

NPI: 1053411769
Provider Name: DR. RODNEY GLEN COURSON, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
3880 STOCKTON HILL RD STE 103128
KINGMAN, AZ
ZIP 86409
Phone: (928) 279-1387
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DR. Rodney Glen Courson, M.D. is a surgery in Kingman, AZ. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Rodney Glen Courson, M.D. NPI is 1053411769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3880 STOCKTON HILL RD STE 103128
KINGMAN, AZ
ZIP 86409-595
Phone: (928) 279-1387
Fax: (928) 757-7272

The enumeration date for this NPI number is 9/23/2006 and was last updated on 2/28/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery30616ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z118161MEDICARE PINARIZONA
2Z137106MEDICARE PINARIZONA
3726044MEDICAIDARIZONA
4G30026MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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