Mark D Rutherford, DC | |
11122 Gravelly Lake Dr Sw, Lakewood, WA 98499-1348 | |
(253) 355-8156 | |
(206) 923-7601 |
Full Name | Mark D Rutherford |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 11122 Gravelly Lake Dr Sw, Lakewood, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700377892 | NPI | - | NPPES |
1922455161 | Other | WA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH00002419 (Washington) | Primary |
Provider Name | Fircrest Spine Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356738645 PECOS PAC ID: 1153604632 Enrollment ID: O20170412002375 |
Mailing Address | Practice Location Address |
---|---|
Mark D Rutherford, DC 4916 Center St, Ste G, Tacoma, WA 98409-2348 Ph: (253) 912-9653 | Mark D Rutherford, DC 11122 Gravelly Lake Dr Sw, Lakewood, WA 98499-1348 Ph: (253) 355-8156 |
One Stop Mobile Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8101 83rd Ave Sw Apt D28, Lakewood, WA 98498 Phone: 360-989-8859 | |
Dr. Chan Ho Park, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8815 S Tacoma Way, #120, Lakewood, WA 98499 Phone: 253-582-1383 Fax: 253-682-2841 | |
Eugene C. Lim, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10828 Gravelly Lake Dr Sw Ste 108, Lakewood, WA 98499 Phone: 253-588-9731 | |
Pacific Medical & Chiropractic, P.s. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8909 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-584-1144 Fax: 253-588-5060 | |
Dr. Lissa Ann Grannis, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6210 75th St W, Suite A100, Lakewood, WA 98499 Phone: 253-588-1800 Fax: 253-588-8781 | |
Dr. Seth Charles Rubio, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 9701 S Tacoma Way Ste 106, Lakewood, WA 98499 Phone: 253-588-8340 | |
Millennium Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7517 Custer Rd W, Lakewood, WA 98499 Phone: 253-473-7777 Fax: 253-473-2484 |