Organization
ESTELLE A. RUTLEDGE, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTELLE ALEXIS RUTLEDGE M.D. (OWNER)
(501) 960-1390
Entity
Organization
Contact information
Practice address
23157 I-30 SOUTH, SUITE 200, BRYANT, AR 72022-2593
(501) 847-0834
(501) 847-1731
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E-6039
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177688002
—
AR
Enumeration date
03/26/2009
Last updated
08/23/2010
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