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Individual
ANTHONY DALE RUDD
Active
Individual
ANTHONY DALE RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD44503
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200024
LIWA
WA
01
—
2165RU
BSWA
WA
05
—
8431470
—
WA
Enumeration date
05/01/2006
Last updated
11/14/2011
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