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Individual

DR. STEVEN GREGG RUDICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2123 AUBURN AVE STE 136, CINCINNATI, OH 45219-2906
(513) 206-1060
(513) 206-1062
Mailing address
234 GOODMAN ST.,, ML 0781, CINCINNATI, OH 45219
(513) 584-4505
(513) 584-0468

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.021668
OH
207RC0000X
Cardiovascular Disease Physician
35135877
OH
207RI0011X
Interventional Cardiology Physician
Primary
35135877
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0346687
OH
Enumeration date
04/13/2012
Last updated
10/27/2020
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