Individual
DR. SUSAN RUYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
207 S CHEHALIS, ABERDEEN, WA 98520-2945
(360) 533-2020
(360) 533-1978
Mailing address
207 S CHEHALIS, ABERDEEN, WA 98520-2945
(360) 533-2020
(360) 533-1978
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD000028344
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1088558
—
WA
01
—
124458
WA STATE LABOR & INDUST.
WA
01
—
1246640001
CIGNA MEDICARE
WA
01
—
180032302
RAILROAD MEDICARE
WA
01
—
RU5893
REGENCE BLUE SHIELD
WA
Enumeration date
07/06/2006
Last updated
10/21/2011
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