# WALLACE E RUMINSON MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720011406
- **Authorized official:** WALLACE E RUMINSON MD (PRESIDENT)
- **Authorized official phone:** (559) 781-2079

## Contact information

- **Practice address:** 444 W. PUTNAM, PORTERVILLE, CA 93257
- **Practice address phone:** (559) 781-2079
- **Practice address fax:** (559) 781-4310
- **Mailing address:** 444 W PUTNAM AVE, PORTERVILLE, CA 93257-3321
- **Mailing address phone:** (559) 781-2079
- **Mailing address fax:** (559) 781-4310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G28807 | CA | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 12/02/2008