AMANDA CALLOWAY RUTHERFORD

SHREVEPORT, LA
NPI1518100908
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: LA  PA.A10349.RX)
Enumeration Date2009-04-14
Last Update Date2018-03-15
Business Address
AMANDA CALLOWAY RUTHERFORD PA-C
1501 KINGS HWY DEPARTMENT OF MEDICINE
SHREVEPORT, LA 71103-4228
Phone number: 318-813-1622
Mailing Address
AMANDA CALLOWAY RUTHERFORD PA-C
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-675-5000
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