Individual
CARL THOMAS RUDEBUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1712 E BROAD ST, RICHMOND, VA 23223-6930
(804) 344-9848
(804) 554-5395
Mailing address
1712 E BROAD ST, RICHMOND, VA 23223-6930
(804) 344-9848
(804) 554-5395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101272980
VA
Other
Enumeration date
04/10/2018
Last updated
06/09/2022
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