Individual
DR. PAUL EDWARD RUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2640 TRADER RD, JACKSON, WY 83001-8321
(307) 413-6677
Mailing address
PO BOX 7471, JACKSON, WY 83002-7471
(307) 413-6677
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3415A
WY
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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