ANTONIO MARIANO RUIZ

FORT BRAGG, NC
NPI1518398502
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NC  001005216)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2013-12-02
Last Update Date2018-12-10
Business Address
Mr. ANTONIO MARIANO RUIZ PA-C
2817 REILLY ROAD
FORT BRAGG, NC 28307
Phone number: 210-267-7793
Mailing Address
Mr. ANTONIO MARIANO RUIZ PA-C
6910 SURREY RD
FAYETTEVILLE, NC 28306-2553
Phone number: 210-267-7793