Dr W Shelby Rutledge, MD | |
112 Park Avenue, Ash Fork, AZ 86320-5300 | |
(928) 637-2305 | |
(928) 637-2343 |
Full Name | Dr W Shelby Rutledge |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 112 Park Avenue, Ash Fork, Arizona |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780637066 | NPI | - | NPPES |
109290 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 19436 (Arizona) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr W Shelby Rutledge, MD Po Box 3630, North Country Health Care, Flagstaff, AZ 86003-3630 Ph: (928) 213-6121 | Dr W Shelby Rutledge, MD 112 Park Avenue, Ash Fork, AZ 86320-5300 Ph: (928) 637-2305 |
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