| NPI | 1497821185 |
|---|---|
| Doing Business As | D/B/A RUCH CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHARON STONE Administrator 901-682-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2008-01-08 |