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Individual
RICHARD RUTKOWSKI
Active
Individual
RICHARD RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27869
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
759475
—
AZ
01
—
P00804329
RAILROAD MEDICARE
AZ
Enumeration date
05/27/2005
Last updated
06/17/2013
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