Individual
RUEL M MOTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
51 N 39TH ST, PHILADELPHIA, PA 19104-2640
(215) 662-8244
Mailing address
51 NORTH 39TH STREET, PHILADELPHIA, PA 19104-2614
(215) 662-3958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN327098L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN327098L
PA
Other
Enumeration date
07/23/2006
Last updated
10/10/2012
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