MEDICARE: MARIA C RUGAMAS CFA

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	246ZC0007X	Surgical Assistant

General Provider Information

NPI Number	:	1285808634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA C RUGAMAS CFA

Provider Business Mailing Address
First Line	:	3570 W 9000 S
Second Line	:	SUITE 210
City	:	WEST JORDAN
State	:	UT
Zip	:	84088-8876
Country	:	US
Telephone Number	:	801-569-5328
Fax Number	:	801-569-5333

Provider Business Practice Location Address
First Line	:	3570 W 9000 S
Second Line	:	SUITE 210
City	:	WEST JORDAN
State	:	UT
Zip	:	84088-8876
Country	:	US
Telephone Number	:	801-569-5328
Fax Number	:	801-569-5333

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

Provider Enumeration Date	:	04/16/2008
Last Update Date	:	09/29/2011

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Directions to “ MARIA C RUGAMAS CFA” Practice Location

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