Individual
DR. ROBERT RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21601 76TH AVE W, EDMONDS, WA 98026-7507
(425) 640-4682
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD438549
PA
207P00000X
Emergency Medicine Physician
Primary
MD60201430
WA
207P00000X
Emergency Medicine Physician
MT190979
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235391079
—
WA
Enumeration date
07/01/2008
Last updated
09/13/2022
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