Ladd Douglas Rutherford JR., PA-C
NPI #1235809005 in Shelton, Washington
Provider Information
- NPI Number
- 1235809005
- Entity Type
- Individual
- Name
- Ladd Douglas Rutherford JR., PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Sep 14, 2021
- Last Updated
- Jan 16, 2023
Practice Location
- Address
- 1701 N 13TH ST
- City
- Shelton
- State
- Washington
- ZIP Code
- 98584-2077
- Phone
- (360) 426-2653
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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