Individual
CRAIG RICHARD RUDER
Active
Individual
CRAIG RICHARD RUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD436237
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD436237
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037256100
—
MD
05
—
102372886
—
PA
01
—
1585618
GATEWAY-WMG
PA
01
—
20096582
AMERIHEALTH MERCY-WMG
PA
01
—
281442
UNISON-WMG
PA
01
—
956426
CAREFIRST MD BCBS
MD
Enumeration date
02/17/2006
Last updated
04/19/2011
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