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Individual

RUDOLPH CHIRSTOPHER GLATTES

Active
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Individual

RUDOLPH CHIRSTOPHER GLATTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35263
TN
207XS0117X
Orthopaedic Surgery of the Spine Physician
35263
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100454230A
KS
05
208983700
MO
01
32353015
BCBS
MO
01
519700
FIRSTGUARD
KS
01
P00047432
RAILROAD MEDICARE
Enumeration date
08/30/2006
Last updated
11/01/2011
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