Rutherford, Connor Blaine

Rutherford, Connor Blaine is an individual health care provider with primary practice located at 2307 S Gordon Cooper Dr , Shawnee OK 74801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rutherford, Connor Blaine can be contacted via phone (405) 273-5236.

Contact Information

Primary practice address
2307 S Gordon Cooper Dr Shawnee OK 74801
Phone: (405) 273-5236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 38079 Oklahoma

Profile Details

NPI number 1700404415
LBN Legal business name Rutherford, Connor Blaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2020
Last updated Aug 27th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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