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Michele Ruffy
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NPI Number Detailed Information
Provider Information:
| Name: | Michele Ruffy |
| Gender: | F |
| Provider License Number If Given: | 524 |
NPI Information:
| NPI: | 1174522759 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 7/12/2007 |
Provider Business Mailing Address:
| Address: | 5000 CEDAR PLAZA PARKWAY STE 350 Saint Louis, MO 63128 |
| Phone Number: | 3148434333 |
| Fax Number: | 3148434856 |
Provider Business Practice Location Address:
| Address: | 4200 CLOVERLEAF DRIVE SUITE J-K St.Peters, MO 63376 |
| Phone Number: | 6369285109 |
| Fax Number: | 6364474678 |
Provider Taxonomy:
| Primary: | 103T00000X |
| Secondary (if any): | |
| State: | MO |
