National Provider Identifier

Willard D Ruth, DO

Willard D Ruth, DO is listed in the NPPES registry with a primary specialty of General Practice Physician in Grand Island, NY and a listed phone number of (716) 773-6181.

NPI 1992898019Grand Island, NYGeneral Practice Physician

Profile Overview

NPI
1992898019
Provider Type
Individual
Primary Specialty
General Practice Physician
Enumeration Date
October 02, 2006
Last Updated
July 08, 2007

Practice Location

  • 1870 Whitehaven RD
  • Grand Island, NY 14072-1804

Phone: (716) 773-6181

Specialties

  • General Practice Physician (208D00000X)
Full Record
NPI
1992898019
Entity Type
Individual
Last Name
Ruth
First Name
Willard
Middle Name
D
Name Prefix
Dr.
Credential
DO
Mailing Street Address
1870 Whitehaven RD
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-1804
Mailing Country
US
Mailing Phone
(716) 773-6181
Mailing Fax
(716) 773-0941
Practice Street Address
1870 Whitehaven RD
Practice City
Grand Island
Practice State
NY
Practice ZIP Code
14072-1804
Practice Country
US
Practice Phone
(716) 773-6181
Practice Fax
(716) 773-0941
Enumeration Date
October 02, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Physician (208D00000X)
Other Identifiers
6400427 (Iha), 00010152701 (Univera), 00050366101 (BCBS), 00629290 (NY)