Organization
DR. RUANTO'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARTURO N RUANTO MD (PRESIDENT)
(931) 243-4176
Entity
Organization
Contact information
Practice address
104 OLD JEFFERSON STREET, CELINA, TN 38551-0347
(931) 243-4176
(931) 243-4641
Mailing address
PO BOX 347, 104 OLD JEFFERSON STREET, CELINA, TN 38551-0347
(931) 243-4176
(931) 243-4641
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
13102
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3183603
—
TN
Enumeration date
04/30/2008
Last updated
04/30/2008
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