DR. Ralph H. Ruckle, M.D.

NPI #1790770378 in Portland, Tennessee

Provider Information

NPI Number: 1790770378
Entity Type: Individual
Name: DR. Ralph H. Ruckle, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Sep 20, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 103 REDBUD DR
Address 2: SUITE C
City: Portland
State: Tennessee
ZIP Code: 37148-1617
Phone: (615) 325-7337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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