Individual
JOHN CONRAD RUDERSDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10350 DRANSFELDT RD, SUITE 100, PARKER, CO 80134-9673
(303) 805-4312
Mailing address
155 INVERNESS DR W, SUITE 200, CENTENNIAL, CO 80112-5095
(303) 779-9676
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2008014001
MO
2084P0800X
Psychiatry Physician
DR.0055461
CO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
DR.0055461
CO
Other
Enumeration date
07/06/2008
Last updated
07/08/2015
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