Individual provider · Type 1 NPI
Paul Edward Ruttle, MD
Specialist · Jackson, WY
NPI number
1922545896
Active
Practice location
2640 Trader Rd
Jackson, WY 83001-8321
Mailing address
PO Box 7471
Jackson, WY 83002-7471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 3415A (WY) |
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.
Other specialist providers in Jackson
About NPI 1922545896
Paul Edward Ruttle, MD's National Provider Identifier is 1922545896, issued on Jan 30, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jackson, WY. The record was last updated on Jan 30, 2017.