Individual
PHILLIP ROBERT RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
711 ONYX ST, KEMMERER, WY 83101-3214
(307) 877-4401
Mailing address
711 ONYX ST, KEMMERER, WY 83101-3214
(307) 877-4496
(307) 877-3236
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/12/2020
Last updated
10/26/2020
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