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Individual

MR. STEVEN EDWARD RUTLEDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BOCPO

Contact information

Practice address
330 S 5TH ST STE 102, ENID, OK 73701-5860
(580) 237-7654
(580) 237-2211
Mailing address
330 S 5TH ST STE 102, ENID, OK 73701-5860

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
96
OK
224P00000X
Prosthetist
Primary
96
OK

Other

Enumeration date
05/17/2017
Last updated
05/17/2017
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