Paul Edward Ruttle, M.D.

Specialist · Jackson, WY

Individual Active NPI

NPI number 1922545896

Practice location

2640 Trader Rd
Jackson, WY 83001-8321
Phone
(307) 413-6677

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NPI record

NPI
1922545896
Entity type
Individual (Type 1)
Enumeration date
January 30, 2017
Last updated
January 30, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X 3415A WY

Mailing address

PO Box 7471
Jackson, WY 83002-7471
Phone
(307) 413-6677

About Dr. Ruttle

Paul Edward Ruttle, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 2640 Trader Rd, Jackson, WY 83001-8321. The NPI number 1922545896 was assigned on January 30, 2017 and the record was last updated on January 30, 2017.

Dr. Ruttle lists a license in the registry: #3415A (WY) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Paul Edward Ruttle, M.D.?

The NPI number is 1922545896.

What is the phone number of Dr. Ruttle?

The phone number listed for the practice location is (307) 413-6677.

Where is Dr. Ruttle located?

2640 Trader Rd, Jackson, WY 83001-8321.

What is the taxonomy code for Dr. Ruttle?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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