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Individual

RICHARD RUTKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7301 E 2ND ST, SCOTTSDALE, AZ 85251-5600
(480) 882-4545
Mailing address
7301 E 2ND ST, SUITE 210, SCOTTSDALE, AZ 85251-5600
(480) 882-4545

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27869
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
759475
AZ
01
P00804329
RAILROAD MEDICARE
AZ
Enumeration date
05/27/2005
Last updated
06/17/2013
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