Individual
DR. REBECCA EVONNE RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1660 S COLUMBIAN WAY, S-111-GIMC, SEATTLE, WA 98108-1532
(206) 768-5340
Mailing address
4123 NE 107TH ST, SEATTLE, WA 98125-7929
(206) 667-7042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00033168
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8286551
—
WA
Enumeration date
09/13/2006
Last updated
07/08/2007
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