OrganizationActive
A. Clark Ruttinger D O PLLC
NPI 1174706519 · Geriatric Medicine (Family Medicine) Physician · Surprise, AZ
Provider details
- NPI number
- 1174706519
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Albert Ruttinger, Owner
- License
- 2607 (AZ)
Practice location
13951 W Grand Ave Ste 203
Surprise, AZ 85374-2436
Phone: (623) 544-4600
Fax: (623) 544-4725
Mailing address
13951 W Grand Ave Ste 203
Surprise, AZ 85374-2436
Registry dates
- Enumerated
- 2007-12-07
- Last updated
- 2023-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.