Individual
MR. STEVE RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
140 HOSPITAL DR, SUITE 216, BENNINGTON, VT 05201-5009
(802) 447-5519
Mailing address
140 HOSPITAL DR, BENNINGTON, VT 05201-5009
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
101.0107069
VT
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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