Organization
GREGORY DAVID RUDOLF
Active
Other names
Gregory David Rudolf, MD PS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY DAVID RUDOLF MD (PHYSICIAN)
(206) 386-2013
Entity
Organization
Contact information
Practice address
1101 MADISON ST, STE 200, SEATTLE, WA 98104-1306
(206) 386-2013
Mailing address
PO BOX 94546, SEATTLE, WA 98124-6846
(206) 320-4476
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
MD00041809
WA
Other
Enumeration date
08/31/2006
Last updated
03/24/2009
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