Provider Demographics
NPI:1801495791
Name:RUTH ECKERT MD PERSONALIZED CARE LLC
Entity type:Organization
Organization Name:RUTH ECKERT MD PERSONALIZED CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:ECKERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-365-6603
Mailing Address - Street 1:7054 E COCHISE RD STE B120
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85253-4548
Mailing Address - Country:US
Mailing Address - Phone:480-365-6033
Mailing Address - Fax:866-837-0556
Practice Address - Street 1:7054 E COCHISE RD STE B120
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85253-4548
Practice Address - Country:US
Practice Address - Phone:480-365-6033
Practice Address - Fax:866-837-0556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty