Search › Indiana › 103TC0700X
Samuel Rutherford, DR
NPI 1477962173 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1481 W 10th St
Indianapolis, IN 46202 - Phone
- (317) 544-0000
- Organisation at this address
- Va Medical Center
Indianapolis Vamc
Indianapolis Vamc
V A Medical Center
Department Of Veterans AffairsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 981
Additional practice sites
- 1255 Pearl St Ste 101, Eugene, OR
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 101YA0400X
101YM0800X - Licence states on file
- OR, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana