Individual
DR. THEODORE MARK RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
(580) 421-6283
Mailing address
1925 WARRIOR WAY, ADA, OK 74820-3491
(580) 421-4570
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E5021
AR
Other
Enumeration date
10/27/2006
Last updated
07/10/2024
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