Individual
ALISON ELAINE RUTHKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS PA-C
Contact information
Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(702) 961-5000
(702) 869-8103
Mailing address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(702) 961-5000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA877
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506859
—
NV
05
—
100506860
—
NV
Enumeration date
02/01/2006
Last updated
04/12/2022
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