Samuel Thomas Rutan, 390200000X
NPI #1790444859 in Camp Hill, Pennsylvania
Provider Information
- NPI Number
- 1790444859
- Entity Type
- Individual
- Name
- Samuel Thomas Rutan, 390200000X
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- 390200000X
- Enumeration Date
- Dec 15, 2021
- Last Updated
- Dec 15, 2021
Practice Location
- Address
- 830 LISBURN RD APT A
- City
- Camp Hill
- State
- Pennsylvania
- ZIP Code
- 17011-7471
- Phone
- (717) 503-5929
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