Thomas Ruddy CRNA

NPI 1962528109 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1962528109
Gender Male
Enumeration Date 03/21/2007
Last Updated 09/15/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
4647 ZION AVE
SAN DIEGO CA, 92120-2507, US
Phone (619) 528-5000
Fax
Business Location
4647 ZION AVE
SAN DIEGO CA, 92120-2507, US
Phone (619) 528-5000
Fax
Toxanomy
Taxonomy Code 367500000X
License State California
License Number NA2485
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According to our database, Thomas Ruddy CRNA NPI is 1962528109, taxonomy code is 367500000X and license number is NA2485, license state is located at California. Thomas Ruddy CRNA physically located at 4647 Zion Ave, San Diego CA, 92120-2507. NPI Number Thomas Ruddy CRNA has the Individual type.

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1962528109 NPI number is provided on an as is basis without warranty of any kind. 1962528109 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Ruddy CRNA are for informational purposes only.