Individual
ANDREA RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
265 W INA RD, TUCSON, AZ 85704-6204
(520) 694-8888
Mailing address
265 W INA RD, TUCSON, AZ 85704-6204
(520) 694-8888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12500
NC
363AS0400X
Surgical Physician Assistant
11500
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912607110
—
NC
Enumeration date
03/06/2023
Last updated
08/06/2026
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