Individual
DUSTIN RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRS
Contact information
Practice address
1034 HARRISBURG PIKE, COLUMBUS, OH 43223-2525
(614) 291-4691
Mailing address
825 DENNISON AVE, COLUMBUS, OH 43215-1315
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
002262
OH
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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