Individual
STEVEN RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 N STATE OF FRANKLIN RD FL 2, JOHNSON CITY, TN 37604-6092
(423) 439-7280
(423) 439-7314
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6039
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB10162400
NJ
207R00000X
Internal Medicine Physician
Primary
DO3606
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2014
Last updated
11/20/2018
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