BROCK RUTHERFORD

BEND, OR
NPI1841640430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  192493)
Enumeration Date2016-06-15
Last Update Date2022-05-09
Business Address
BROCK RUTHERFORD PA-C
2200 NE NEFF RD STE 200
BEND, OR 97701-4281
Phone number: 541-382-3344
Mailing Address
BROCK RUTHERFORD PA-C
2200 NE NEFF RD STE 200
BEND, OR 97701-4281
Phone number: 415-382-3344
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