Theodore L Rudberg MD

NPI 1033100615 - Family Medicine - 207QG0300X

NPI Details
NPI 1033100615
Gender Male
Enumeration Date 11/02/2005
Last Updated 04/03/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
5430 E SAPPHIRE LN
PARADISE VALLEY AZ, 85253-2533, US
Phone (602) 410-3293
Fax
Business Location
5430 E SAPPHIRE LN
PARADISE VALLEY AZ, 85253-2533, US
Phone (602) 410-3293
Fax
Toxanomy
Taxonomy Code 207QG0300X
License State Arizona
License Number 11018
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According to our database, Dr. Theodore L Rudberg MD NPI is 1033100615, taxonomy code is 207QG0300X and license number is 11018, license state is located at Arizona. Theodore L Rudberg MD physically located at 5430 E Sapphire Ln, Paradise Valley AZ, 85253-2533. NPI Number Theodore L Rudberg MD has the Individual type.

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1033100615 NPI number is provided on an as is basis without warranty of any kind. 1033100615 is maintained by the National Plan & Provider Enumeration System. The contents of Theodore L Rudberg MD are for informational purposes only.