Individual
MR. RUDOLPH SCOTT RUNNELS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 RIVER OAKS DRIVE, FLOWOOD, MS 39232-9595
(601) 939-9778
(601) 939-9416
Mailing address
1055 RIVER OAKS DRIVE, FLOWOOD, MS 39232-9595
(601) 939-9778
(601) 939-9416
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
13960
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115139
—
MS
Enumeration date
01/17/2007
Last updated
07/08/2007
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