| 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 |