Renee N Rutherford in O Fallon - Physician Assistant
Renee N Rutherford - NPI 1619166345
Renee N Rutherford is a Physician Assistant in O Fallon, Illinois. Renee N Rutherford practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Renee N Rutherford is 1619166345. The last update date is 2008-08-21.
Renee N Rutherford's current location address is 916 Talon Dr, O Fallon, Illinois. You can contact this provider via phone number 6186288211 and fax number 6186280883. The mailing address for Renee N Rutherford is 916 Talon Dr, O Fallon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renee N Rutherford |
|---|---|
| Address | 916 Talon Dr, O Fallon, Illinois |
| Phone Number | 6186288211 |
| Fax Number | 6186280883 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1619166345 |
|---|---|
| Provider Enumeration Date | 2007-10-18 |
| Last Updated Date | 2008-08-21 |
Provider Mailing Address Detail
| Address | 916 Talon Dr |
|---|---|
| City | O Fallon |
| State | Illinois (IL) |
| Post Code | 622691848 |
| Phone Number | 6186288211 |
| Fax Number | 6186280883 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-003107 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Renee N Rutherford by the Centers for Medicare & Medicaid Services?
The Renee N Rutherford has been issued the NPI (National Provider Identifier) 1619166345 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Renee N Rutherford is geographically located?
The Renee N Rutherford is physically situated at the following location: 916 Talon Dr, O Fallon, IL, 622691848.
What is Renee N Rutherford's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Renee N Rutherford is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
When did Renee N Rutherford receive its 1619166345 assignment?
The Renee N Rutherford was assigned its 1619166345 on 2007-10-18, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Renee N Rutherford most recently updated or revised?
The details related to Renee N Rutherford, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-21.
NPI Number: 1568460681
Address: 830 S. Addison Avenue, Villa Park, IL
NPI Number: 1235138272
Address: 19 Bradhurst Ave, Hawthorne, NY