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1841640430
BROCK RUTHERFORD
BEND, OR
NPI
1841640430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: OR 192493)
Enumeration Date
2016-06-15
Last Update Date
2024-09-18
Business Address
BROCK RUTHERFORD PA-C
2200 NE NEFF RD STE 200
BEND, OR 97701-4281
Phone number: 541-382-3344
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Mailing Address
BROCK RUTHERFORD PA-C
2200 NE NEFF RD STE 200
BEND, OR 97701-4281
Phone number: 415-382-3344
Copy
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