Individual
DR. CHARLES W RUGGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19699
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01196997
—
CO
01
—
04-15064
KANSAS LICENSE
KS
01
—
06D0517138
CLIA
CO
05
—
100127700A
—
KS
01
—
19677
COLORADO LICENSE
CO
Enumeration date
02/07/2006
Last updated
02/18/2016
Update your record
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