Provider Demographics
NPI:1245344258
Name:RUGGLES, JAMES A (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:A
Last Name:RUGGLES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1341 W ROBINHOOD DR # DRIVE6
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5515
Mailing Address - Country:US
Mailing Address - Phone:209-481-3446
Mailing Address - Fax:209-474-6468
Practice Address - Street 1:1341 W ROBINHOOD DR STE B6
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5517
Practice Address - Country:US
Practice Address - Phone:209-481-3446
Practice Address - Fax:209-474-6468
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2023-02-07
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Provider Licenses
StateLicense IDTaxonomies
CAC 353612084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry