Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD00019548 | WA |
NPI | 1134166598 |
---|---|
Provider Name | Dr. Susan E Rutherford |
First Address | Kirkland, WA 98034-3013 |
Second Address | Kirkland, WA 98034-3013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 10/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DON'T KNOW ALL #'S | DON'T KNOW ALL NUMBERS (01) | |
E72378 | (02) | WA |