Organization
RUDY A SANTOSO MD
Active
Organization
RUDY A SANTOSO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDY A SANTOSO M.D. (M.D.)
(828) 324-4143
Entity
Organization
Contact information
Practice address
1019 LENOIR RHYNE BLVD SE, HICKORY, NC 28602-4331
(828) 324-4143
(828) 324-0225
Mailing address
1019 LENOIR RHYNE BLVD SE, HICKORY, NC 28602-4331
(828) 324-4143
(828) 324-0225
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
26148
NC
Other
Enumeration date
10/13/2009
Last updated
11/18/2009
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