Organization
SOUTHWESTERN GASTROINTESTINAL SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK W RUTHARDT MD (PRESIDENT)
(724) 437-7677
Entity
Organization
Contact information
Practice address
300 SPRING CREEK LANE, UNIONTOWN, PA 15401-9069
(724) 437-7677
(724) 437-3215
Mailing address
300 SPRING CREEK LANE, UNIONTOWN, PA 15401-9069
(724) 437-7677
(724) 437-3215
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1428975
UMWA
PA
01
—
M8177
RR MEDICARE
PA
Enumeration date
11/07/2006
Last updated
02/16/2012
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