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Individual
MR. JEFFREY D RUTHERFORD
Active
Individual
MR. JEFFREY D RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000150379
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157639
BLUE CROSS PIN
MO
01
—
4400266
UNITED HEALTHCARE
MO
01
—
481262
HEALTHLINK PIN
MO
Enumeration date
08/31/2006
Last updated
02/12/2009
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