Organization
ZELLA RUDD
Active
Other names
Terry's Medical Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
ZELLA RUDD (OWNER FITTER)
(660) 665-6429
Entity
Organization
Contact information
Practice address
710B N MARION ST, KIRKSVILLE, MO 63501-2970
(660) 665-6429
(660) 665-6429
Mailing address
710B N MARION ST, KIRKSVILLE, MO 63501-2970
(660) 665-6429
(660) 665-6429
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
623927605
—
MO
Enumeration date
01/31/2007
Last updated
07/31/2008
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