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Renee Rutherford, PA-C
NPI 1619166345 · on the registry since 2007
Practice
- Address
- 916 Talon Dr
Suite 102
O Fallon, IL 62269 - Phone
- (618) 628-8211
- Fax
- (618) 628-0883
- Organisation at this address
- Dme Edge Llc
Apg Medical Laboratory
Associated Physicians Group
Associated Physicians Group Ltd
Associated Physicians Group, LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-08-21
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 Illinois