Individual
RON RUDAWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 S. POTOMAC ST., AURORA, CO 80012-5411
(303) 695-2628
(303) 306-7753
Mailing address
P.O. BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1681
CO
363A00000X
Physician Assistant
Primary
PA.0001681
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71403540
—
CO
01
—
P00730991
RAILROAD MEDICARE
CO
Enumeration date
10/05/2006
Last updated
10/09/2024
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