Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Justin S Rutherford · Justin Scott Rutherford | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States | [sources] | |||
First name | Justin | [sources] | |||
ID Number | OS018990 | [sources] | |||
Last name | Rutherford | [sources] | |||
Middle name | S | [sources] | |||
NPI | 1588018022 | [sources] | |||
Title | DO | [sources] | |||
Position | DO | [sources] | |||
Address | Erie, PA | [sources] | |||
Last change | Last processed | First seen |
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medde-863796a5a92b70c89a8b82ec4672d34d73598bca
· us-medpa-84a483acf6e55f2eb49457e4eff9799d9cdedc54
For experts: raw data explorer
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Address | ||
---|---|---|
Full address | Country | |
Erie, PA | United States |
United States | Pennsylvania Department of Human Services | - | - |