Doctor Name: | DR. ROBERT CARVER RUTHERFORD |
NPI Number: | 1699890988 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME 49595 |
Business Practice Address: | 6 Tarman Dr Cloverdale, CA - 954253932 |
Business Phone Number: | 7078944229 |
Business Fax Number: | 7078942954 |
Mailing Address: | 100 W 3rd St, CLOVERDALE |
State: | CA |
Postal Code: | 954253204 |
Phone Number: | 7078944229 |
Fax Number: | 7078947820 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | ME 49595 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |