Individual
DANIEL RUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
2006 HEALTH CAMPUS DR, ROCKINGHAM, VA 22801-8679
(540) 689-5600
(757) 579-8532
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 689-5600
(757) 579-8532
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126001379
VA
363A00000X
Physician Assistant
Primary
0110005025
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194061028
—
VA
Enumeration date
12/21/2012
Last updated
03/14/2019
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