MR. Paul John Ruchalski JR., PA-C

NPI #1902948656 in Ft Carson, Colorado

Provider Information

NPI Number: 1902948656
Entity Type: Individual
Name: MR. Paul John Ruchalski JR., PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: EVANS ARMY COMMUNITY HOSPITAL USA MEDDAC
Address 2: DIRAIMONDO FAMILY MEDICINE CLINIC
City: Ft Carson
State: Colorado
ZIP Code: 80913-4604
Phone: (719) 524-2047

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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