Individual
THEODORE A RUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 S DOUGLAS BLVD, SUITE A, MIDWEST CITY, OK 73130-5251
(405) 733-3030
(405) 733-3865
Mailing address
2525 NW EXPRESSWAY, SUITE 610, OKLAHOMA CITY, OK 73112
(405) 286-9465
(405) 286-9462
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20876
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100046880A
—
OK
Enumeration date
02/23/2006
Last updated
08/08/2016
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