Organization
VICKIE L RUDD
Active
Other names
terry's medical specialties
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE RUDD CFM (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
21880522
MO
Other
Enumeration date
02/06/2017
Last updated
08/15/2017
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