Individual
ROBERT RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8734 ORTEGA PARK DR, NAVARRE, FL 32566-4139
(850) 904-2277
(205) 618-9706
Mailing address
107 DILWORTH ST, GLENDIVE, MT 59330-2053
(406) 345-8901
(406) 345-8908
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME74008
FL
207Q00000X
Family Medicine Physician
11461
MT
207QA0401X
Addiction Medicine (Family Medicine) Physician
ME74008
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273228900
—
FL
Enumeration date
07/18/2006
Last updated
06/21/2024
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