Individual
DR. STEPHANIE MAUS RUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4160 LITTLE YORK RD STE 20, DAYTON, OH 45414-5803
(937) 454-9527
(937) 454-9532
Mailing address
4160 LITTLE YORK RD STE 20, DAYTON, OH 45414-5803
(937) 454-9527
(937) 454-9532
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34.012093
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0315554
—
OH
Enumeration date
07/20/2012
Last updated
04/12/2022
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