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NPI Code Detail

MEDICARE: ROBERT DUNCAN CARRUTHERS

MEDICARE: ROBERT DUNCAN CARRUTHERS
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

Other Identifiers

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

General Provider Information

NPI Number : 1851620348
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT DUNCAN CARRUTHERS
Provider Business Mailing Address
First Line : 2080 S E ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92408-2773
Country : US
Telephone Number : 909-388-9191
Fax Number :
Provider Business Practice Location Address
First Line : 1100 N D ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92410-3524
Country : US
Telephone Number : 909-884-0840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2009
Last Update Date : 01/08/2021

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Directions to “ ROBERT DUNCAN CARRUTHERS ” Practice Location

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