Individual
MARK RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16251 SYLVESTER RD SW, BURIEN, WA 98166-3017
(206) 244-9970
Mailing address
1007 N 42ND ST, SEATTLE, WA 98103-7403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041356
WA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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