MR. Ivan Ruiz, ORTHOTIST

NPI #1518167147 in Johns Creek, Georgia

Provider Information

NPI Number: 1518167147
Entity Type: Individual
Name: MR. Ivan Ruiz, ORTHOTIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotist
Credential: ORTHOTIST
Enumeration Date: Jul 22, 2007
Last Updated: Oct 31, 2007

Practice Location

Address: 9690 VANTANA WAY
City: Johns Creek
State: Georgia
ZIP Code: 30022-6394
Phone: (404) 833-8737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotist	222Z00000X	Primary

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