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Organization

W L RUTLEDGE MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM L RUTLEDGE MD (PRESIDENT/OWNER)
(501) 225-3384
Entity
Organization

Contact information

Practice address
9712 W MARKHAM ST, LITTLE ROCK, AR 72205-2124
(501) 225-3384
Mailing address
1501 N UNIVERSITY AVE, SUITE 500, LITTLE ROCK, AR 72207-5242
(501) 661-8207

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R3422
AR
208600000X
Surgery Physician
R3422
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003820036
INDIVIDUAL NPI
AR
05
105362001
AR
Enumeration date
02/06/2009
Last updated
03/25/2010
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