Individual
JUAN MANUEL RUIZ HURTARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(267) 251-3588
Mailing address
100 PERKINS FARM DR, STE 303, MYSTIC, CT 06355-4041
(267) 251-3588
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MT195756
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
66872
CT
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD60272371
WA
Other
Enumeration date
11/12/2007
Last updated
10/19/2021
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