Individual
DR. WILLIAM E RUTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1585 3RD ST, FORT JOHNSON, LA 71459-5102
(337) 531-3119
Mailing address
PSC 444 BOX 2162, APO, AP 96297-0022
(315) 737-2189
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2297
NE
208D00000X
General Practice Physician
2297
NE
Other
Enumeration date
02/17/2019
Last updated
07/03/2024
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