Organization
M. THERESA RUSCH, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA THERESA RUSCH M.D. (PRESIDENT)
(559) 781-5022
Entity
Organization
Contact information
Practice address
396 W PUTNAM AVE, PORTERVILLE, CA 93257-3323
(559) 781-5022
(559) 781-6990
Mailing address
396 W PUTNAM AVE, PORTERVILLE, CA 93257-3323
(559) 781-5022
(559) 781-6990
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C51083
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C51083
—
CA
Enumeration date
10/26/2009
Last updated
10/26/2009
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