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Individual

MR. EDWARD HAMPTON RUTLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
102 THOMAS ROAD, SUITE 111, WEST MONROE, LA 71291
(318) 329-8517
(318) 329-8518
Mailing address
102 THOMAS ROAD, SUITE 111, WEST MONROE, LA 71291
(318) 329-8517
(318) 329-8518

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
19100
MS
208800000X
Urology Physician
Primary
MD.204640
LA
208800000X
Urology Physician
ME104163
FL

Other

Enumeration date
07/09/2006
Last updated
10/23/2015
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