Individual
PATRICIA MIRIAM RUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
722 N MONTEZUMA ST, PRESCOTT, AZ 86301-2002
(928) 237-9000
Mailing address
23615 N 105TH DR, PEORIA, AZ 85383-1195
(623) 221-7731
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
08/13/2021
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