David Rudolph, Md

LBN: David Rudolph, Md
David Rudolph, Md is an health care organization with primary practice located at 561 S Denali St Ste C , Palmer AK 99645-6464. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. David Rudolph, Md can be contacted via phone (907) 745-8432, or through Rudolph, David S via phone (907) 745-8432.

Contact Information

Primary practice address
561 S Denali St Ste C Palmer AK 99645-6464
Phone: (907) 745-8432
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rudolph, David S Doctor of Medicine (MD)
Phone: (907) 745-8432

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD2033 Alaska

Profile Details

NPI number 1457775520
LBN Legal business name David Rudolph, Md
DBA Doing business as
Authorized official Rudolph, David S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2014
Last updated Feb 10th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457775520 NPPES
Alaska MEDICAID 1011028

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