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Individual

CHARLES RUTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.R.N.A.

Contact information

Practice address
24852 BRIDGES DR W, DAPHNE, AL 36526-8200
(251) 626-5435
Mailing address
24852 BRIDGES DR W, DAPHNE, AL 36526-8200
(251) 626-5435

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
059367
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
1-022882
AL
367500000X
Certified Registered Nurse Anesthetist
209-003553
IL
367500000X
Certified Registered Nurse Anesthetist
2314A
KY

Other

Enumeration date
08/22/2006
Last updated
02/16/2010
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