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Organization
ESTELLE A. RUTLEDGE, M.D., PA
Active
Organization
ESTELLE A. RUTLEDGE, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTELLE ALEXIS RUTLEDGE M.D. (OWNER)
(501) 960-1390
Entity
Organization
Contact information
Practice address
23157 I-30 SOUTH, SUITE 200, BRYANT, AR 72022-2593
(501) 847-0834
(501) 847-1731
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E-6039
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177688002
—
AR
Enumeration date
03/26/2009
Last updated
08/23/2010
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