MEDICARE: DR. WALTER RICHARD RUF MD

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
1	208600000X	Surgery Physician	35029165R	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225068919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WALTER RICHARD RUF MD

Provider Business Mailing Address
First Line	:	3744 FAIRWAY PARK DR
Second Line	:	#203
City	:	COPLEY
State	:	OH
Zip	:	44321-3109
Country	:	US
Telephone Number	:	330-666-3238
Fax Number	:	330-668-3014

Provider Business Practice Location Address
First Line	:	157 W CEDAR ST
Second Line	:	#214
City	:	AKRON
State	:	OH
Zip	:	44307-2564
Country	:	US
Telephone Number	:	330-666-3238
Fax Number	:	330-668-3014

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	07/08/2007

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