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Individual

JON WILLIAM RUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2320 FREEWAY DRIVE, MOUNT VERNON, WA 98273
(360) 814-6800
(360) 814-6917
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7158173-1206
UT
363A00000X
Physician Assistant
Primary
PA60544695
WA

Other

Enumeration date
10/03/2011
Last updated
05/21/2015
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