Phillip Robert Rutledge, PA

NPI #1619592953 in Kemmerer, Wyoming

Provider Information

NPI Number: 1619592953
Entity Type: Individual
Name: Phillip Robert Rutledge, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 12, 2020
Last Updated: Oct 26, 2020

Practice Location

Address: 711 ONYX ST
City: Kemmerer
State: Wyoming
ZIP Code: 83101-3214
Phone: (307) 877-4401

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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