Jack D Rush, M.D.

NPI #1356399844 in Clayton, New York

Provider Information

NPI Number: 1356399844
Entity Type: Individual
Name: Jack D Rush, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 5, 2006
Last Updated: Feb 29, 2012

Practice Location

Address: 909 STRAWBERRY LN
City: Clayton
State: New York
ZIP Code: 13624-1409
Phone: (315) 686-2094

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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