Organization
MERRITT C RUDOLPH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIESBETH OSA RN (OFFICE MANAGER)
(303) 722-4683
Entity
Organization
Contact information
Practice address
850 E HARVARD AVE, STE 405, DENVER, CO 80210-5073
(303) 722-4683
(303) 778-0726
Mailing address
850 E HARVARD AVE, STE 405, DENVER, CO 80210-5073
(303) 722-4683
(303) 778-0726
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16397
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04010153
—
CO
Enumeration date
10/21/2008
Last updated
10/21/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up