Individual
CYNTHIA RUFFOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1101 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-1662
(573) 884-3718
Mailing address
PO BOX 1768, COLUMBIA, MO 65205-1768
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2000163892
MO
207Q00000X
Family Medicine Physician
2000163892
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111238
BLUE SHIELD
MO
05
—
205068505
—
MO
01
—
418693
HEALTHLILNK
MO
Enumeration date
05/26/2006
Last updated
09/14/2022
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