NPI 1750841029

Jacob Austin Ruzicka, MD

Practitioner Emergency Medicine Physician Broken Arrow, OK

Practice location

Address: 19646 E 140th St S, Broken Arrow, OK 74014-4555
Phone: (918) 260-5920
Mailing address: 7 River Ridge Rd, Broken Arrow, OK 74014-4502

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 38921 (OK)

Other Emergency Medicine providers in Oklahoma →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Oklahoma →

Registry record

NPI: 1750841029
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2019
Record last updated: 30 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.