Individual
MR. GARY RUESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7321 11TH ST, HILL AFB, SALT LAKE CITY, UT 84056-5012
(801) 777-7109
(801) 775-3039
Mailing address
7321 11TH ST, HILL AFB, SALT LAKE CITY, UT 84056-5012
(801) 777-7109
(801) 775-3039
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
200595-4405
UT
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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