Individual
DR. STEPHEN MILES RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1270 KOT-NUM RD., WARM SPRINGS, OR 97761
(541) 553-1196
(541) 553-1130
Mailing address
PO BOX 1209, WARM SPRINGS, OR 97761-1209
(541) 553-1196
(541) 553-1130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19095
OR
207Q00000X
Family Medicine Physician
Primary
2021-02262
NC
Other
Enumeration date
06/01/2005
Last updated
11/18/2021
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