Individual
DR. DAVID A RUDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DIV PED GASTRO, HEPATOLOGY AND NUTRITION, SAINT LOUIS, MO 63110-1002
(314) 454-6173
(844) 231-8912
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 454-6173
(844) 231-8912
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
106362
MO
2080P0206X
Pediatric Gastroenterology Physician
Primary
106362
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205020209
—
MO
Enumeration date
07/17/2006
Last updated
04/17/2025
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