Individual
RUTHIE SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(501) 364-2090
(501) 364-3929
Mailing address
1 CHILDRENS WAY # 844, LITTLE ROCK, AR 72202-3500
(501) 364-2090
(501) 364-3929
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
60839
WI
2088P0231X
Pediatric Urology Physician
60839
WI
2088P0231X
Pediatric Urology Physician
Primary
E17173
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200132676
—
MO
05
—
201200200A
—
OK
05
—
311524001
—
AR
Enumeration date
04/09/2009
Last updated
11/22/2024
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