Individual
DAVID SCOTT RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
561 S DENALI, STE C, PALMER, AK 99645
(907) 745-8432
(907) 746-4489
Mailing address
561 S DENALI, STE C, PALMER, AK 99645
(907) 745-8432
(907) 746-4489
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2066
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD2033
—
AK
Enumeration date
11/21/2005
Last updated
10/17/2007
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