Individual
DR. CHARLES W RUGGLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3129
(719) 471-1763
(719) 471-2498
Mailing address
170 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3129
(719) 471-1763
(719) 471-2498
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
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