MS. Renee N Rutherford, PA-C

NPI #1619166345 in O Fallon, Illinois

Provider Information

NPI Number: 1619166345
Entity Type: Individual
Name: MS. Renee N Rutherford, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 18, 2007
Last Updated: Aug 21, 2008

Practice Location

Address: 916 TALON DR
Address 2: SUITE 102
City: O Fallon
State: Illinois
ZIP Code: 62269-1848
Phone: (618) 628-8211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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