Individual ProviderRichard J. WaldropFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address7620 W Lower Buckeye Rd, Suite 102, Phoenix, AZ 85043-7433(623) 936-0821PECOS EnrollmentBased on the most recent information from CMS, provider Richard J. Waldrop does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:58 AM.Profile DetailsProvider ID1760448864Provider TypeIndividualFull NameWaldrop, Richard J.CredentialD.O.GenderMaleSole ProprietorNoEnumeration Date4/26/2006Last Updated11/10/2011Contact InformationPractice LocationPractice Address7620 W Lower Buckeye Rd, Suite 102, Phoenix, AZ 85043-7433Phone(623) 936-0821Fax(623) 478-9151Mailing LocationMailing Address7620 W Lower Buckeye Rd, Suite 102, Phoenix, AZ 85043-7433Phone(623) 936-0821Fax(623) 478-9151Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense3686ArizonaProvider IdentifiersIDDescriptionIssuerID590126DescriptionMedicaidIssuerUnlistedArizona