| Organization Name: | DR. RUANTO'S CLINIC |
| NPI Number: | 1194990101 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARTURO N RUANTO (PRESIDENT) |
| Mailing Address: | 104 Old Jefferson Street Celina |
| State: | TN US |
| Postal Code: | 385510347 |
| Phone Number: | 9312434176 |
| Fax Number: | 9312434641 |
| NPI Enumeration Date: | 04/30/2008 |
| NPI Last Update Date: | 04/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 13102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |