Individual
DR. RAYMOND OMAR RUSHDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
140 STOLLINGS AVE STE 2, LOGAN, WV 25601-4035
(304) 752-8400
(304) 752-8419
Mailing address
PO BOX 1736, 140 STOLLINGS AVE SUITE 2, LOGAN, WV 25601
(304) 752-8400
(304) 752-8419
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
11444
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128359000
—
WV
Enumeration date
05/04/2006
Last updated
02/18/2010
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