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1184988115
THEODORE L RUDBERG MD PC
PHOENIX, AZ
NPI
1184988115
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Entity Type
Organization
Authorized Contact
THEODORE L RUDBERG
President
602-410-3293
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 11018)
Enumeration Date
2012-06-25
Last Update Date
2012-06-25
Business Address
THEODORE L RUDBERG MD PC
777 E MISSOURI AVE STE 225
PHOENIX, AZ 85014-2830
Phone number: 602-263-8958
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Mailing Address
THEODORE L RUDBERG MD PC
5430 E SAPPHIRE LN
PARADISE VALLEY, AZ 85253-2533
Phone number: 602-410-3293
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