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Individual

DR. RUDOLPH CLINTON ANDERSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1600 N BEAUREGARD ST STE 300, ALEXANDRIA, VA 22311-1732
(703) 940-3810
(703) 940-3811
Mailing address
1600 N BEAUREGARD ST STE 300, ALEXANDRIA, VA 22311-1732
(703) 940-3810
(703) 940-3811

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103001041
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9304240
VA
Enumeration date
08/23/2005
Last updated
12/30/2020
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