Alexandria Ruzicka, PA-C

NPI #1104247741 in Alton, Illinois

Provider Information

NPI Number: 1104247741
Entity Type: Individual
Name: Alexandria Ruzicka, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 29, 2013
Last Updated: Jun 18, 2014

Practice Location

Address: 4411 ALBY STREET
City: Alton
State: Illinois
ZIP Code: 62002
Phone: (618) 474-8052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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