Individual provider · Type 1 NPI

Garrett David Rucker, MD

Student in an Organized Health Care Education/Training Program · Norfolk, VA

NPI number 1811647183 Active

Practice location

600 Gresham Dr
Norfolk, VA 23507-1904

Mailing address

PO Box 1980
Norfolk, VA 23501-1980

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X0116038107 (VA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811647183

Garrett David Rucker, MD's National Provider Identifier is 1811647183, issued on Mar 28, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Norfolk, VA. The record was last updated on Jun 29, 2023.