NPI | 1518079664 |
---|---|
Doing Business As | GREGORY DAVID RUDOLF, MD PS |
Entity Type | Organization |
Authorized Contact | GREGORY DAVID RUDOLF Physician 206-386-2013 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: WA MD00041809) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2009-03-24 |