Healthcare Provider Details

I. General information

NPI: 1659317915
Provider Name (Legal Business Name): FRANKLIN ALLEN RUTLEDGE II MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 08/29/2026
Certification Date: 08/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37900 N 45TH AVE
PHOENIX AZ
85086-7008
US

IV. Provider business mailing address

37900 N 45TH AVE
PHOENIX AZ
85086-7008
US

V. Phone/Fax

Practice location:
  • Phone: 623-465-5148
  • Fax:
Mailing address:
  • Phone: 623-465-5148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG60929
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License NumberG60929
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: