Individual
HENRY MCKINLEY RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9550 ALLISONVILLE RD, INDIANAPOLIS, IN 46250-1201
(317) 842-4458
Mailing address
9550 ALLISONVILLE RD, INDIANAPOLIS, IN 46250-1201
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007065A
IN
Other
Enumeration date
01/10/2017
Last updated
05/31/2017
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