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Organization

CHARLES W. RUGGLES, M.D.

Active
Other names
Pikes Peak Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES W RUGGLES M.D. (OWNER)
(719) 633-1725
Entity
Organization

Contact information

Practice address
3245 INTERNATIONAL CIR, SUITE 100, COLORADO SPRINGS, CO 80910-3152
(719) 633-1725
(719) 633-7426
Mailing address
3245 INTERNATIONAL CIR, SUITE 100, COLORADO SPRINGS, CO 80910-3152
(719) 633-1725
(719) 633-7426

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19699
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-15064
LICENSE
KS
01
19699
LICENSE
CO
Enumeration date
02/07/2006
Last updated
06/25/2008
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