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NPI Code Detail

MEDICARE: RULON JAMES CORRY DO

MEDICARE: RULON JAMES CORRY DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207R00000XInternal Medicine PhysicianT1924TX

General Provider Information

NPI Number : 1366948523
Entity Type Code : Individual
Provider Name (Legal Business Name) : RULON JAMES CORRY DO
Provider Business Mailing Address
First Line : 4777 E GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2814
Country : US
Telephone Number : 513-686-6860
Fax Number : 513-686-6868
Provider Business Practice Location Address
First Line : 4777 E GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-2814
Country : US
Telephone Number : 513-686-6860
Fax Number : 513-686-6868
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2018
Last Update Date : 08/11/2021

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