| Dr Phillip J Ruffalo, MD | |
|
1213 15th Ave W, Suite 250, Williston, ND 58801-3800 | |
| (701) 577-0319 | |
| (701) 572-7438 |
| Full Name | Dr Phillip J Ruffalo |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1213 15th Ave W, Williston, North Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649252651 | NPI | - | NPPES |
| 0031720 | Other | MT | MT MEDICAID |
| M5897 | Other | ID | IDAHO LICENSE # |
| 013760 | Medicaid | ND | |
| 594 | Other | ND | ND BLUE CROSS BLUE SHIELD |
| 3813 | Other | MT | MT LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | M5897 (Idaho) | Secondary |
| 208600000X | Surgery | 3813 (Montana) | Secondary |
| 208600000X | Surgery | ND3055 (North Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Phillip J Ruffalo, MD 1213 15th Ave W, Suite 250, Williston, ND 58801-3800 Ph: (701) 577-0319 | Dr Phillip J Ruffalo, MD 1213 15th Ave W, Suite 250, Williston, ND 58801-3800 Ph: (701) 577-0319 |
Mr. Wayne L Anderson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1213 15th Ave W, Suite 200, Williston, ND 58801 Phone: 701-572-4003 Fax: 701-572-4007 | |
Ashley Melissa Lemere, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7400 | |
Brett K Vibeto, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1213 15th Ave. W., Craven Hagan Clinic, Williston, ND 58801 Phone: 701-572-7651 Fax: 701-572-1688 |