Organization
RUTLEDGE SKIN CARE CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH RUTLEDGE MD (OWNER)
(505) 564-8300
Entity
Organization
Contact information
Practice address
4 ROAD 3641, AZTEC, NM 87410-9562
(505) 564-8300
(505) 564-8303
Mailing address
4801 N BUTLER AVE, SUITE 13101, FARMINGTON, NM 87401-6002
(505) 564-8300
(505) 564-8303
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
95-338
NM
Other
Enumeration date
08/23/2006
Last updated
07/10/2020
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