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NPI 1922545896

IndividualActive

Paul Ruttle, M.D.

NPI 1922545896 · Specialist · Jackson, WY

Provider details

NPI number: 1922545896
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: 3415A (WY)

Practice location

2640 Trader Rd

Jackson, WY 83001-8321

Phone: (307) 413-6677

More WY providers

Mailing address

Po Box 7471

Jackson, WY 83002-7471

Registry dates

Enumerated: 2017-01-30
Last updated: 2017-01-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Paul Ruttle, M.D. — NPI 1922545896, Jackson, WY | NPI Central