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Organization
W L RUTLEDGE MD PA
Active
Organization
W L RUTLEDGE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L RUTLEDGE MD (PRESIDENT/OWNER)
(501) 225-3384
Entity
Organization
Contact information
Practice address
9712 W MARKHAM ST, LITTLE ROCK, AR 72205-2124
(501) 225-3384
Mailing address
1501 N UNIVERSITY AVE, SUITE 500, LITTLE ROCK, AR 72207-5242
(501) 661-8207
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3422
AR
208600000X
Surgery Physician
R3422
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003820036
INDIVIDUAL NPI
AR
05
—
105362001
—
AR
Enumeration date
02/06/2009
Last updated
03/25/2010
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