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Organization

SOUTHWESTERN GASTROINTESTINAL SPECIALISTS PC

Active
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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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