Individual
DR. DEAN ROBERT RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
513 N MAIN ST, HAILEY, ID 83333-8568
(208) 788-3211
Mailing address
513 N MAIN ST, HAILEY, ID 83333-8568
(208) 788-3211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
C579
ID
Other
Enumeration date
11/13/2006
Last updated
08/17/2016
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