Individual
DR. MERRITT C RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
850 E HARVARD AVE, STE 405, DENVER, CO 80210-5077
(303) 722-4683
(303) 778-0726
Mailing address
850 E HARVARD AVE, STE 405, DENVER, CO 80210-5077
(303) 722-4683
(303) 778-0726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16397
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04010153
—
CO
Enumeration date
04/03/2006
Last updated
10/26/2007
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