Individual
ELIZABETH MARIE RUDOLPHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA AS OF 3/28/14
Contact information
Practice address
8300 CONSTITUTION AVE NE, PRESBYTERIAN KASEMAN FAMILY MEDICINE, ALBUQUERQUE, NM 87110-7613
(505) 291-2402
Mailing address
8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
(505) 291-2402
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/19/2014
Last updated
12/10/2015
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