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NPI Code Detail

MEDICARE: ANTHONY CHARLES RUGGEROLI M.D.

MEDICARE:   ANTHONY CHARLES RUGGEROLI  M.D.
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
1207LP2900XPain Medicine (Anesthesiology) Physician8127NV
2207L00000XAnesthesiology Physician8127NV

General Provider Information

NPI Number : 1295751600
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY CHARLES RUGGEROLI M.D.
Provider Business Mailing Address
First Line : 9159 W FLAMINGO RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6454
Country : US
Telephone Number : 702-307-7700
Fax Number : 702-307-7942
Provider Business Practice Location Address
First Line : 9159 W FLAMINGO RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6454
Country : US
Telephone Number : 702-307-7700
Fax Number : 702-307-7942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2006
Last Update Date : 03/25/2025

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Directions to “ ANTHONY CHARLES RUGGEROLI M.D.” Practice Location

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