Individual
PHIL RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5402 BUS 50 W UNIT 1, JEFFERSON CITY, MO 65109
(573) 284-1776
Mailing address
5402 BUS 50 W UNIT 1, JEFFERSON CITY, MO 65109
(573) 284-1776
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
2020027391
MO
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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