Individual
MS. RUTH LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3272 E RIO VIRGIN RD, LITTLEFIELD, AZ 86432-3200
(928) 347-5971
(928) 347-5793
Mailing address
PO BOX 1625, PAGE, AZ 86040-1625
(928) 645-9675
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5639
AZ
363A00000X
Physician Assistant
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894489
—
AZ
Enumeration date
01/11/2012
Last updated
07/21/2022
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