Individual
MR. RONALD BRUCE RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
850 TICONDEROGA ST STE 110, PEARL HARBOR, HI 96860-4460
(808) 473-2798
Mailing address
850 TICONDEROGA ST STE 110, PEARL HARBOR, HI 96860-4460
(808) 473-2798
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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