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Individual

VIRGINIA RUTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
100 TILBURY DR., KEARNY, AZ 85237
(520) 363-5573
(520) 363-5611
Mailing address
PO BOX 369, KEARNY, AZ 85237-0369
(520) 363-5573
(520) 363-5611

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3090
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
359168
AZ
Enumeration date
05/31/2005
Last updated
10/23/2007
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