Individual
ALAN T RUDOLPH
Active
Individual
ALAN T RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME21545
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100588600
—
FL
01
—
30070
BCBS
FL
Enumeration date
08/23/2006
Last updated
12/03/2018
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