Individual
MICHAEL RUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11709 S TAMARACK ST, JENKS, OK 74037-6215
(918) 633-4581
Mailing address
11709 S TAMARACK ST, JENKS, OK 74037-6215
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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