Individual
MRS. MARY WORKMAN RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
747 52ND ST, CHILDRENS HOSPITAL OAKLAND EMERGENCY DEPARTMENT, OAKLAND, CA 94609-1809
(510) 428-3259
(510) 450-5836
Mailing address
747 52ND ST, CHILDRENS HOSPITAL OAKLAND EMERGENCY DEPARTMENT, OAKLAND, CA 94609-1809
(510) 428-3259
(510) 450-5836
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
G43608
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G436080
—
CA
05
—
GR0095780
—
CA
Enumeration date
10/31/2006
Last updated
07/08/2007
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