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NPI Code Detail

MEDICARE: CYNTHIA RUTLEDGE DO

MEDICARE: CYNTHIA RUTLEDGE DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianK7883TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28F9501OTHERTXBCBS OF TX

General Provider Information

NPI Number : 1043219439
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA RUTLEDGE DO
Provider Business Mailing Address
First Line : 2301 S GREGG ST
Second Line :
City : BIG SPRING
State : TX
Zip : 79720-5531
Country : US
Telephone Number : 432-267-5531
Fax Number :
Provider Business Practice Location Address
First Line : 2301 S GREGG ST
Second Line :
City : BIG SPRING
State : TX
Zip : 79720-5531
Country : US
Telephone Number : 432-267-5531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 06/25/2008

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Directions to “ CYNTHIA RUTLEDGE DO” Practice Location

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