Individual
WILLIAM GARTH RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1080 FIRST COLONIAL RD, SUITE 200, VIRGINIA BEACH, VA 23454-2406
(757) 395-6070
(757) 395-6381
Mailing address
1080 FIRST COLONIAL RD, SUITE 200, VIRGINIA BEACH, VA 23454-2406
(757) 395-6070
(757) 395-6381
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101241931
VA
208C00000X
Colon & Rectal Surgery Physician
Primary
0101241931
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79622011
—
CO
Enumeration date
12/12/2006
Last updated
10/15/2024
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