Individual
SEAN CHRISTOPHER RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 GOODWIN DR, FESTUS, MO 63028-4122
(636) 933-4141
Mailing address
706 ROCKSHIRE DR, HERCULANEUM, MO 63048-1743
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/14/2016
Last updated
01/06/2017
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