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Individual

DR. PATRICK T RUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4145 CARMICHAEL RD, MONTGOMERY, AL 36106-2803
(334) 273-2320
(334) 273-2386
Mailing address
2055 NORMANDIE DR, SUITE 108, MONTGOMERY, AL 36111-2732
(334) 269-6337
(334) 834-0657

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
31436
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
MD27476
AL
2085R0204X
Vascular & Interventional Radiology Physician
MD27476
AL

Other

Enumeration date
05/25/2006
Last updated
12/05/2016
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