Individual
MICHAEL DAVID RUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 RIDGEVIEW DR UNIT 3, SMITHFIELD, PA 15478
(724) 569-8100
(724) 569-8368
Mailing address
100 RIDGEVIEW DR UNIT 3, SMITHFIELD, PA 15478-1650
(724) 569-8100
(724) 569-8368
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA003565L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033293980001
—
PA
Enumeration date
07/05/2006
Last updated
09/22/2022
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