Individual
CASSANDRA JOLENE RUSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
750 HOSPITAL LOOP, CRAIG, CO 81625-8750
(970) 826-2486
(970) 826-2488
Mailing address
750 HOSPITAL LOOP, CRAIG, CO 81625-8750
(970) 826-2486
(970) 826-2488
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004139
VA
363A00000X
Physician Assistant
Primary
PA.0003787
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10236732
—
CO
Enumeration date
02/01/2013
Last updated
01/10/2024
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