person
Ladd Douglas Rutherford JR., PA-C
Medical Physician Assistant in Shelton, Washington
NPI 1235809005

Ladd Douglas Rutherford JR. is a Medical Physician Assistant based in Shelton, WA and is specialized in Medical. Ladd Douglas Rutherford JR. practices in Shelton, WA and has the professional credentials of PA-C. The NPI Number for Ladd Douglas Rutherford JR. is 1235809005 and holds a License No. (Washington).

The current practice location address for Ladd Douglas Rutherford JR. is 1701 N 13Th St, Shelton, WA and can be reached out via phone at 360-426-2653 and via fax at 888-985-0168.

Location: 1701 N 13Th St, Shelton, WA, 98584-2077
person
Provider Profile Details
NPI Number
1235809005
Provider Name
Ladd Douglas Rutherford JR.
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1701 N 13Th St, Shelton, WA, 98584-2077
Phone Number
360-426-2653
Fax Number
888-985-0168
Provider Enumeration Date
09/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1701 N 13Th St
City
State
Zip
98584-2077
Phone Number
360-426-2653
Fax Number
888-985-0168
person
Provider Business Mailing Address Details
Address
1701 N 13Th St
City
State
Zip
98584-2077
Phone Number
360-426-2653
Fax Number
888-985-0168
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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