Individual
DR. RICHARD JOHN RUSKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6309 E BAYWOOD AVE, MESA, AZ 85206-1744
(480) 325-3801
(480) 325-3805
Mailing address
PO BOX 13550, MESA, AZ 85216-3550
(480) 325-3801
(480) 325-3805
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
15462
AZ
208VP0000X
Pain Medicine Physician
15462
AZ
208VP0014X
Interventional Pain Medicine Physician
15462
AZ
Other
Enumeration date
07/26/2006
Last updated
05/30/2012
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