| Ladd Douglas Rutherford Jr, PA-C | |
|
1701 N 13th St, Shelton, WA 98584-2077 | |
| (360) 426-2653 | |
| (888) 985-0168 |
| Full Name | Ladd Douglas Rutherford Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 1701 N 13th St, Shelton, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235809005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ladd Douglas Rutherford Jr, PA-C 1701 N 13th St, Shelton, WA 98584-2077 Ph: () - | Ladd Douglas Rutherford Jr, PA-C 1701 N 13th St, Shelton, WA 98584-2077 Ph: (360) 426-2653 |
Mark A. Flores, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 237 Professional Way, Shelton, WA 98584 Phone: 360-426-2500 | |
Carley A Jacobs, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2300 Kati Ct Ste A, Shelton, WA 98584 Phone: 360-426-0955 | |
Mr. Charles W Anderegg, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 N 13th St Ste A, Shelton, WA 98584 Phone: 360-426-2653 | |
Mr. James Stauffer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-426-2653 | |
Astiana Marie Stults, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-432-3298 | |
Mathew Kummerfeldt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 N 13th St, Shelton, WA 98584 Phone: 360-426-2653 Fax: 888-985-0681 |