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Individual

DR. SHIREEN J RUDDEROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1633 MEDICAL CENTER POINT, COLORADO SPRINGS, CO 80907
(719) 636-2999
(719) 667-4108
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(719) 278-3672
(719) 623-2101

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0050089
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
51705729
CO
Enumeration date
10/04/2006
Last updated
10/17/2024
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