Doctor Name: | DR. BRIAN SCOTT RETHERFORD |
NPI Number: | 1134183080 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A82303 |
Business Practice Address: | 111 S 5th St Douglas, WY - 826332434 |
Business Phone Number: | 3073587365 |
Business Fax Number: | 3073587347 |
Mailing Address: | 17 Fairway Dr, DOUGLAS |
State: | WY |
Postal Code: | 826339515 |
Phone Number: | 3073598127 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2006 |
NPI Last Update Date: | 08/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | A82303 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |