Organization
RANDALL L. RUDEEN MD PA
Active
Other names
Women's Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL L RUDEEN M.D. (DOCTOR/OWNER)
(208) 467-2400
Entity
Organization
Contact information
Practice address
1603 12TH AVE RD, SUITE B, NAMPA, ID 83686-7712
(208) 467-2400
(208) 467-6416
Mailing address
1603 12TH AVE RD, SUITE B, NAMPA, ID 83686-7712
(208) 467-2400
(208) 467-6416
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
M5040
ID
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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