Timothy Kirk Ruttan
Emergency Physician Pediatric Emergency Physician
4150 V St Pssb, Suite 2100
Sacramento
, California 95817-1460
Timothy Kirk Ruttan
Emergency Physician Pediatric Emergency Physician
4150 V St Pssb, Suite 2100
Sacramento
, California 95817-1460
(916) 396-8661
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About
Features
Specialties
- Emergency Physician
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Timothy Kirk Ruttan
- 701 45th St
- Sacramento, CA
- Zip : 95819-3123
- Phone : (916) 396-8661
Second Address
- Timothy Kirk Ruttan
- 4150 V St Pssb, Suite 2100
- Sacramento, CA
- Zip : 95817-1460
- Phone : (916) 734-5010
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | A135072 | CA |
| N | 207P00000X | Emergency Physician | P5885 | TX |
| N | 207PP0204X | Pediatric Emergency Physician | A135072 | CA |
National Provider Identifier
| NPI | 1104080514 |
|---|---|
| Provider Name | Timothy Kirk Ruttan |
| First Address | Sacramento, CA 95819-3123 |
| Second Address | Sacramento, CA 95817-1460 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2008 |
| Last Update Date | 26/02/2016 |
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.