NPI 1922545896

Paul Edward Ruttle, MD

Practitioner Specialist Jackson, WY

Practice location

Address: 2640 Trader Rd, Jackson, WY 83001-8321
Phone: (307) 413-6677
Mailing address: PO Box 7471, Jackson, WY 83002-7471

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 3415A (WY)

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Registry record

NPI: 1922545896
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2017
Record last updated: 30 Jan 2017

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.