Doctor Name: | MRS. ELIZABETH ANN RUGG |
NPI Number: | 1417927922 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA, NP |
License Number: | PA 16471 |
Business Practice Address: | 4940 Hamrick Rd Central Point, OR - 975023072 |
Business Phone Number: | 5416903600 |
Business Fax Number: | 5416643735 |
Mailing Address: | 3617 S Pacific Hwy, MEDFORD |
State: | OR |
Postal Code: | 975018957 |
Phone Number: | 5416903600 |
Fax Number: | 5416643735 |
NPI Enumeration Date: | 01/25/2006 |
NPI Last Update Date: | 01/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA 16471 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |