Individual
TEMPLE S RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
988095 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8095
(402) 559-9800
Mailing address
988095 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8095
(402) 559-9800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4624
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4624
STATE LICENSE
NE
Enumeration date
02/20/2007
Last updated
07/08/2007
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