Individual
DR. ROGER PAUL RUDLOFF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
109 W 11TH ST, NELIGH, NE 68756-1065
(402) 887-5440
(402) 887-4564
Mailing address
PO BOX 109, NELIGH, NE 68756-0109
(402) 887-5440
(402) 887-4564
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19913
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NE19913
—
NE
Enumeration date
12/17/2005
Last updated
07/08/2007
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