Individual
CARMEN A RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
EAST HIGHWAY 18, PINE RIDGE INDIAN HOSPITAL, PINE RIDGE, SD 57770-1201
(605) 867-5131
(605) 867-3306
Mailing address
PO BOX 5018, PINE RIDGE, SD 57770-5018
(605) 454-0104
(605) 867-3306
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11357
PR
Other
Enumeration date
08/14/2006
Last updated
07/28/2009
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