Individual provider · Type 1 NPI

Renee N. Rutherford, PA-C

Physician Assistant · O Fallon, IL

NPI number 1619166345 Active

Practice location

916 Talon Dr, Suite 102
O Fallon, IL 62269-1848

Call (618) 628-8211 Map

Fax (618) 628-0883

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085-003107 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619166345

Renee N. Rutherford, PA-C's National Provider Identifier is 1619166345, issued on Oct 18, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in O Fallon, IL. The record was last updated on Aug 21, 2008.