Individual
DR. COLIN DAVID RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
156 PARKER AVENUE, SAN FRANCISCO, CA 94118-2608
(415) 317-6342
Mailing address
156 PARKER AVENUE, SAN FRANCISCO, CA 94118-2608
(415) 317-6342
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
42936
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004006261W
HUMANA
—
05
—
34045500
—
WI
Enumeration date
05/12/2006
Last updated
01/03/2022
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