SHANE RUCKEL

OGDEN, UT
NPI1215391875
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: UT  10498620-1205)
Enumeration Date2016-04-11
Last Update Date2023-11-07
Business Address
SHANE RUCKEL
4403 HARRISON BLVD STE 3490
OGDEN, UT 84403-3284
Phone number: 801-387-2650
Mailing Address
SHANE RUCKEL
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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