Organization
TERRY A. RUDENSEY, O.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY RUDENSEY O.D. (MEMBER)
(360) 308-2132
Entity
Organization
Contact information
Practice address
10000 MICKELBERRY RD NW, SILVERDALE, WA 98383-8302
(360) 308-2132
Mailing address
10000 MICKELBERRY RD NW, SILVERDALE, WA 98383-8302
(360) 308-2132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1928 TX
WA
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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