Jacob Austin Ruzicka, MD

NPI #1750841029 in Broken Arrow, Oklahoma

Provider Information

NPI Number: 1750841029
Entity Type: Individual
Name: Jacob Austin Ruzicka, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: Mar 22, 2019
Last Updated: Jun 30, 2022

Practice Location

Address: 19646 E 140TH ST S
City: Broken Arrow
State: Oklahoma
ZIP Code: 74014-4555
Phone: (918) 260-5920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Emergency Medicine	207P00000X	Primary

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