MS. RENEE RUTHERFORD, PA-C

Physician Assistant

Active Individual
NPI: 1619166345

Practice Address

916 TALON DR
SUITE 102
O Fallon, IL 62269

Phone: (618) 628-8211

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 085-003107 (IL)

Frequently Asked Questions

NPI 1619166345 is the National Provider Identifier for MS. RENEE RUTHERFORD, PA-C, a Physician Assistant provider located in O Fallon, IL. This NPI was enumerated on October 18, 2007.
MS. RENEE RUTHERFORD, PA-C practices at 916 TALON DR, SUITE 102, O Fallon, IL 62269.

Quick Facts

NPI
1619166345
Type
Individual
Enumerated
Oct 18, 2007
Last Updated
Aug 21, 2008

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