MR. Ronald Bruce Rutherford, IDC
NPI #1750691291 in Pearl Harbor, Hawaii
Provider Information
- NPI Number
- 1750691291
- Entity Type
- Individual
- Name
- MR. Ronald Bruce Rutherford, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Oct 18, 2010
- Last Updated
- Oct 18, 2010
Practice Location
- Address
- 850 TICONDEROGA ST STE 110
- City
- Pearl Harbor
- State
- Hawaii
- ZIP Code
- 96860-4460
- Phone
- (808) 473-2798
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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