Individual
SAMANTHA RUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 S POTOMAC ST STE 330, AURORA, CO 80012-4539
(303) 531-4910
Mailing address
1411 S POTOMAC ST STE 330, AURORA, CO 80012-4539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81997
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2022
Last updated
05/01/2026
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