Male or Other

Ruston L. Stoltz M.D.

Family Medicine Physician in Newburgh, IN(View on Map)

Full Name

Ruston L Stoltz M.D.

NPI Number

1023011418

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/31/2005

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Indiana

License Number

01049215A

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 1510
4015 GATEWAY BLVD

City

Evansville
Newburgh

State

IN
IN

Postal Code

47706-1510
47630-8925

Country

US
US

Telephone Number

(812) 858-9400
(812) 858-9400

Identifiers

Identifier

200103840
000000064811

Identifier State

IN
IN

Identifier Issuer

Unknown
BCBS PIN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/12/2013

Provider Address

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