Individual
PATRICIA L RUCKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 GARDEN RD STE 110, MONTEREY, CA 93940-5334
(831) 643-0238
Mailing address
125 SURF WAY APT 332, MONTEREY, CA 93940-3457
(831) 643-0238
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
G51048
CA
Other
Enumeration date
07/25/2006
Last updated
03/18/2010
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