Allen Robert Ruttenberg
Sports Medicine Doctor
2801 Rodeo Road Suite B-13
Santa Fe
, New Mexico 87507
Allen Robert Ruttenberg
Sports Medicine Doctor
2801 Rodeo Road Suite B-13
Santa Fe
, New Mexico 87507
(505) 662-0768
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Allen Robert Ruttenberg
- 1460 Trinity Drive Suite A
- Santa Fe, NM
- Zip : 87544
- Phone : (505) 662-0768
Second Address
- Allen Robert Ruttenberg
- 2801 Rodeo Road Suite B-13
- Santa Fe, NM
- Zip : 87507
- Phone : (505) 474-6097
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | 82-300 | NM |
National Provider Identifier
| NPI | 1922194067 |
|---|---|
| Provider Name | Allen Robert Ruttenberg |
| First Address | Santa Fe, NM 87544 |
| Second Address | Santa Fe, NM 87507 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F16068 | (02) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.