Organization
RUSH PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE VAUGHN RUSH III D.O. (OWNER)
(251) 424-1200
Entity
Organization
Contact information
Practice address
1400 N MCKENZIE ST, FOLEY, AL 36535-2234
(251) 424-1200
(251) 424-1201
Mailing address
1400 N MCKENZIE ST, FOLEY, AL 36535-2234
(251) 424-1200
(251) 424-1201
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO.562
AL
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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