Individual
DR. JAY CARSON RUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
4520 CLEARVIEW PKWY, METAIRIE, LA 70006-2308
(504) 885-0177
(504) 888-3581
Mailing address
4520 CLEARVIEW PKWY, METAIRIE, LA 70006-2308
(504) 885-0177
(504) 888-3581
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
5864
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
670-36552
BCBS AL
AL
Enumeration date
08/20/2007
Last updated
06/18/2008
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