Healthcare Provider Details

I. General information

NPI: 1972530921
Provider Name (Legal Business Name): LLOYD E RUFF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 08/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HWY 10 EAST
DANVILLE AR
72833-0639
US

IV. Provider business mailing address

PO BOX 519
DANVILLE AR
72833-0519
US

V. Phone/Fax

Practice location:
  • Phone: 479-495-1213
  • Fax: 479-495-1233
Mailing address:
  • Phone: 479-495-1213
  • Fax: 479-495-1233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberN8367
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberN8367
License Number StateAR
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberN8367
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: