Individual
RICHARD DOUGLAS RUCKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
795 MIDDLE ST, FALL RIVER, MA 02721-1733
(508) 674-5600
(508) 675-5611
Mailing address
795 MIDDLE ST, FALL RIVER, MA 02721-1733
(508) 674-5600
(508) 675-5611
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23186
MN
207P00000X
Emergency Medicine Physician
Primary
58164
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23186
MN MEDICAL LICENSE
—
01
—
58164
MASSACHUSETTS LICENSE
MA
05
—
993565700
—
MN
Enumeration date
03/18/2006
Last updated
06/19/2013
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