| M. Theresa Rusch, M.d., Inc | |
|
396 W Putnam Ave Porterville CA 93257-3323 | |
| (559) 781-5022 | |
| (559) 781-6990 |
| Full Name | M. Theresa Rusch, M.d., Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 396 W Putnam Ave, Porterville, California |
| Authorized Official Name and Position | Maria Theresa Rusch (PRESIDENT) |
| Authorized Official Contact | 5597815022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M. Theresa Rusch, M.d., Inc 396 W Putnam Ave Porterville CA 93257-3323 Ph: (559) 781-5022 | M. Theresa Rusch, M.d., Inc 396 W Putnam Ave Porterville CA 93257-3323 Ph: (559) 781-5022 |
| NPI Number | 1487980538 |
|---|---|
| Provider Enumeration Date | 10/26/2009 |
| Last Update Date | 10/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487980538 | NPI | - | NPPES |
| 00C51083 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | C51083 (California) | Primary |
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