Individual
DR. WILLIAM GARRY RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1283 TOW WAY DRIVE, CODE N02M, NORFOLK, VA 23511
(757) 443-5760
(757) 443-5767
Mailing address
2453 BLUE CASTLE LN, VIRGINIA BEACH, VA 23454-1921
(757) 443-5760
(757) 443-5767
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
0101040327
VA
Other
Enumeration date
02/28/2006
Last updated
07/22/2008
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