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Individual
DR. JILL CHRISTIE ROTRUCK
Active
Individual
DR. JILL CHRISTIE ROTRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A131444
CA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
60313
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
WV
Other
Enumeration date
05/14/2012
Last updated
07/12/2018
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