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1972693786
MARK A RUTHERFORD
BOISE, ID
NPI
1972693786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M5737)
Enumeration Date
2006-10-13
Last Update Date
2012-08-19
Business Address
-- MARK A RUTHERFORD MD
130 E BOISE AVE
BOISE, ID 83706
Phone number: 208-345-4066
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Mailing Address
-- MARK A RUTHERFORD MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-345-4066
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