Organization
SHARON E RUCH MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON E RUCH MD (OWNER MEDICAL DIRECTOR)
(702) 614-1250
Entity
Organization
Contact information
Practice address
10604 SAN BELLACOVA CT, LAS VEGAS, NV 89141-3985
(702) 614-1250
(949) 215-5044
Mailing address
10604 SAN BELLACOVA CT, LAS VEGAS, NV 89141-3985
(702) 614-1250
(949) 215-5044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12553
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12553
LICENCE
NV
Enumeration date
01/26/2016
Last updated
01/26/2016
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