Individual provider · Type 1 NPI

Sidra E. Rucker

Specialist · Oklahoma City, OK

NPI number 1891429148 Active

Practice location

10910 N Penn Ave
Oklahoma City, OK 73120-7610

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) 332BC3200XNone listed
Specialist Primary 174400000XNone listed
Prosthetics Case Management 1744P3200XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1891429148

Sidra E. Rucker's National Provider Identifier is 1891429148, issued on Jul 12, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 12, 2022.