Individual
RANDY RUFFING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1431 CENTERPOINT BLVD, KNOXVILLE, TN 37932-1984
(865) 985-7253
Mailing address
9854 RIVERMONT DR, SAINT LOUIS, MO 63137-3623
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
097469
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
916826332
—
MO
01
—
P00404144
RR MEDICARE
MO
Enumeration date
05/27/2006
Last updated
05/21/2008
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