Individual
WAYNE L RUDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
570 N COLUMBUS BLVD, TUCSON, AZ 85711-2957
(520) 323-8989
(520) 327-9751
Mailing address
570 N COLUMBUS BLVD, TUCSON, AZ 85711-2957
(520) 323-8989
(520) 327-9751
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5512
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0244490
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
06/10/2005
Last updated
12/12/2018
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