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Individual
DR. SHELLEY R. RUTHERFORD
Active
Individual
DR. SHELLEY R. RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G88854
CA
207Q00000X
Family Medicine Physician
Primary
MD-6840
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000063891
HMSA BILLING NUMBER
HI
05
—
055483-01
—
HI
01
—
CA136263
PTAN
CA
01
—
G88854
CA MEDICAL LICENSE
CA
Enumeration date
10/23/2006
Last updated
06/17/2015
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