Individual
ANTHONY DALE RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(253) 720-9247
Mailing address
PO BOX 2242, SEQUIM, WA 98382-4338
(253) 720-9247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD44503
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200024
LIWA
WA
01
—
2165RU
BSWA
WA
05
—
8431470
—
WA
Enumeration date
05/01/2006
Last updated
11/14/2011
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