David Rudolph, MD
Organization Active NPI Internal Medicine Physician · Palmer, AK
NPI 1457775520 · NPPES record last updated Feb 10, 2014
Key facts
- NPI
- 1457775520
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD2033 (AK)
- Legal business name
- DAVID RUDOLPH, MD
- Practice address
- 561 S Denali St Ste C
Palmer, AK 99645-6464 - Phone
- (907) 745-8432
- NPI assigned
- Feb 10, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. David S Rudolph, MD
- Title
- Owner
- Phone
- (907) 745-8432
Practitioners 2
-
John Wayne Moore, PA-C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | MD2033 | AK | Yes |
Addresses
Primary practice location
561 S Denali St Ste C
Palmer, AK 99645-6464
Mailing address
561 S Denali St Ste C
Palmer, AK 99645-6464
Phone (907) 745-8432
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011028 | Medicaid | AK |
Other providers in Palmer, AK
- Bryan David Dahms
- Emma Louise Dahms
- Megan E Danz
- Megan Dauphinee I
- Madison Nicole Dauzart
- Olivia Davies
- Daniel G Davis
- Daybreak Incorporated
- Jamie Dean
- Charles Andrew Debach
All providers in Palmer, AK · Internal Medicine Physician in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.