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Individual

DR. THOMAS FRANKLIN RUTHERFORD III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
176 W MOUND RD, DECATUR, IL 62526-1964
(217) 875-0163
Mailing address
176 W MOUND RD, DECATUR, IL 62526-1964
(217) 875-0163

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
312615
LA
208000000X
Pediatrics Physician
312615
LA
208M00000X
Hospitalist Physician
Primary
036165379
IL

Other

Enumeration date
05/07/2018
Last updated
08/01/2024
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