Healthcare Provider Details

I. General information

NPI: 1184980120
Provider Name (Legal Business Name): JOY K RUFF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2012
Last Update Date: 06/25/2021
Certification Date: 06/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 W 16TH ST
GREELEY CO
80634-4941
US

IV. Provider business mailing address

6801 W 20TH ST UNIT 101
GREELEY CO
80634-9640
US

V. Phone/Fax

Practice location:
  • Phone: 970-356-2520
  • Fax: 970-356-6928
Mailing address:
  • Phone: 970-378-8000
  • Fax: 970-378-8088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDR.0056679
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: