Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 20A9890 | CA |
Y | 208600000X | Surgeon | 20A9890 | CA |
N | 208200000X | Surgeon | 36116771 | IL |
N | 208600000X | Surgeon | 36116771 | IL |
NPI | 1013116433 |
---|---|
Provider Name | Dr. Ruth Ann Rassel |
First Address | Tiburon, CA 94920-2017 |
Second Address | Tiburon, CA 94920-2017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2007 |
Last Update Date | 16/07/2007 |