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Contact Information

A. CLARK RUTTINGER D O PLLC
13951 W GRAND AVE STE 203
SURPRISE, AZ85374-2436
 Phone: 623-544-4600
 Fax: 623-544-4725
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for A. CLARK RUTTINGER D O PLLC

NPI # 1174706519
LBN Legal business name A. CLARK RUTTINGER D O PLLC
Authorized official ALBERT RUTTINGER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/07/2007
Last updated 02/05/2023 - About 3 years ago
Identifiers
AZ License # 2607
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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