Provider Demographics
NPI:1285923177
Name:RASMUSSEN, STEWART F (MD)
Entity type:Individual
Prefix:DR
First Name:STEWART
Middle Name:F
Last Name:RASMUSSEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 245067
Mailing Address - Street 2:1501 N. CAMPBELL AVENUE - ROOM 1355
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-5067
Mailing Address - Country:US
Mailing Address - Phone:520-626-7402
Mailing Address - Fax:520-626-1518
Practice Address - Street 1:1501 N CAMPBELL AVE RM 1355
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-5067
Practice Address - Country:US
Practice Address - Phone:520-626-7402
Practice Address - Fax:520-626-1518
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2017-03-14
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2016-025172085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology