Individual
DR. CAITLYN MAE RERUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MSED, FAAFP
Contact information
Practice address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
(254) 288-8280
Mailing address
36065 SANTA FE AVE, FORT CAVAZOS, TX 76544-5060
(254) 288-8280
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0101253730
VA
Other
Enumeration date
07/07/2011
Last updated
05/28/2024
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