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Last Update: Thursday, October 31, 2024 1:24 PM CDT
Next Update: Thursday, October 31, 2024 4:30 PM CDT

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RUTHERFORD, CONNOR BLAINE       
Practice Address: CITIZEN POTAWATOMI NATION HEALTH SERVICES
2307 S GORDON COOPER DRIVE
SHAWNEE OK 74801

Address last updated on 7/21/2024
Phone #: (405) 273-5236
Fax #:
County: OKLAHOMA
License: 38079
Dated: 7/1/2022
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2021
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
CITIZEN POTAWATOMI NATION HEALTH SERVICES
2307 S GORDON COOPER DRIVE
SHAWNEE OK 74801

Phone #: (405) 273-5236
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
DANA HANEBUTT APRN 80049
VALERIE KAUTZ APRN 81153

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