Individual
DR. THERESA S. RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
300 S PRICE ST, KINGWOOD, WV 26537-1442
(304) 329-1400
(304) 329-1175
Mailing address
300 S PRICE ST, KINGWOOD, WV 26537-1442
(304) 329-1400
(304) 329-1175
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2281
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001990080
BCBS
WV
05
—
3810006728
—
WV
Enumeration date
04/04/2007
Last updated
11/17/2011
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