Organization
BENNETT L RUDORFER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNETT L RUDORFER MD (DOCTOR)
(870) 732-3790
Entity
Organization
Contact information
Practice address
310 W TYLER AVE, WEST MEMPHIS, AR 72301-4225
(870) 732-2398
(870) 732-3647
Mailing address
PO BOX 381974, GERMANTOWN, TN 38183-1974
(870) 732-2398
(870) 732-3647
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
AR
Other
Enumeration date
12/01/2006
Last updated
09/07/2011
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