W Scott Rudeen MD

NPI 1023019957 - Family Medicine - 207Q00000X

NPI Details
NPI 1023019957
Gender Male
Enumeration Date 08/02/2005
Last Updated 10/02/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
260 FALLS AVE STE C
TWIN FALLS ID, 83301-3370, US
Phone (208) 736-7422
Fax (208) 736-8905
Business Location
260 FALLS AVE STE C
TWIN FALLS ID, 83301-3370, US
Phone (208) 736-7422
Fax (208) 736-8905
Toxanomy
Taxonomy Code 207Q00000X
License State Idaho
License Number M3503
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According to our database, Dr. W Scott Rudeen MD NPI is 1023019957, taxonomy code is 207Q00000X and license number is M3503, license state is located at Idaho. W Scott Rudeen MD physically located at 260 Falls Ave Ste C, Twin Falls ID, 83301-3370. NPI Number W Scott Rudeen MD has the Individual type.

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1023019957 NPI number is provided on an as is basis without warranty of any kind. 1023019957 is maintained by the National Plan & Provider Enumeration System. The contents of W Scott Rudeen MD are for informational purposes only.