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Brock Rutherford, PA-C
Surgical Physician Assistant in Bend, Oregon
NPI 1841640430

Brock Rutherford is a Surgical Physician Assistant based in Bend, OR and is specialized in Surgical. Brock Rutherford practices in Bend, OR and has the professional credentials of PA-C. The NPI Number for Brock Rutherford is 1841640430 and holds a License No. 192493 (Oregon).

The current practice location address for Brock Rutherford is 2200 Ne Neff Rd Ste 200, Bend, OR and can be reached out via phone at 541-382-3344.

Location: 2200 Ne Neff Rd Ste 200, Bend, OR, 97701-4281
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Provider Profile Details
NPI Number
1841640430
Provider Name
Brock Rutherford
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2200 Ne Neff Rd Ste 200, Bend, OR, 97701-4281
Phone Number
541-382-3344
Fax Number
Provider Enumeration Date
06/15/2016
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500762847 05 OR
192493 01 OR OREGON MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
2200 Ne Neff Rd Ste 200
City
State
Zip
97701-4281
Phone Number
541-382-3344
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Ne Neff Rd Ste 200
City
State
Zip
97701-4281
Phone Number
541-382-3344
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
192493 (Oregon)
Definition
Definition to come...
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