Individual
KLEOPATRA RUDDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 951-2815
Mailing address
PO BOX 840848, DALLAS, TX 75284-0848
(972) 283-1999
(972) 233-2666
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
28513480
OK
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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