IndividualActive
Ronald Rutherford, IDC
NPI 1750691291 · Independent Duty Corpsman · Pearl Harbor, HI
Provider details
- NPI number
- 1750691291
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
850 Ticonderoga St Ste 110
Pearl Harbor, HI 96860-4460
Phone: (808) 473-2798
Approximate (ZIP-level) locationGet directions
Mailing address
850 Ticonderoga St Ste 110
Pearl Harbor, HI 96860-4460
Registry dates
- Enumerated
- 2010-10-18
- Last updated
- 2010-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.