Individual
MR. PAUL JOHN RUCHALSKI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
EVANS ARMY COMMUNITY HOSPITAL USA MEDDAC, DIRAIMONDO FAMILY MEDICINE CLINIC, FT CARSON, CO 80913-4604
(719) 524-2047
Mailing address
5450 SEVENOAKS DR, COLORADO SPRINGS, CO 80919-5410
(719) 599-7134
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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