Renee N. Rutherford, PA-C
Physician Assistant · O Fallon, IL
Practice location
916 Talon DrSuite 102
O Fallon, IL 62269-1848
- Phone
- (618) 628-8211
- Fax
- (618) 628-0883
NPI record
- NPI
- 1619166345
- Entity type
- Individual (Type 1)
- Enumeration date
- October 18, 2007
- Last updated
- August 21, 2008
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
085-003107 | IL |
About Renee Rutherford
Renee N. Rutherford, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 916 Talon Dr, Suite 102, O Fallon, IL 62269-1848. The NPI number 1619166345 was assigned on October 18, 2007 and the record was last updated on August 21, 2008.
Renee Rutherford lists a license in the registry: #085-003107 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Renee N. Rutherford, PA-C?
The NPI number is 1619166345.
What is the phone number of Renee Rutherford?
The phone number listed for the practice location is (618) 628-8211.
Where is Renee Rutherford located?
916 Talon Dr, Suite 102, O Fallon, IL 62269-1848.
What is the taxonomy code for Renee Rutherford?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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