Individual
JEFFREY RUTGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1430 TULANE AVE, NEW ORLEANS, LA 70112-2632
(504) 988-2261
Mailing address
1430 TULANE AVE, NEW ORLEANS, LA 70112-2632
(504) 988-2261
(504) 988-2684
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RL13750
ND
207W00000X
Ophthalmology Physician
Primary
322816
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
ND
Other
Enumeration date
05/20/2015
Last updated
06/24/2020
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