Randall G. Dudik in Rolla - Family Medicine
Randall G. Dudik - NPI 1154487700
Randall G. Dudik is a Family Medicine in Rolla, Missouri. Randall G. Dudik practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Randall G. Dudik is 1154487700. The last update date is 2008-07-14.
Randall G. Dudik's current location address is 1100 W 10th St, Rolla, Missouri. You can contact this provider via phone number 5733413043 and fax number 5733415208. The mailing address for Randall G. Dudik is 1100 W 10th St, Rolla, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall G. Dudik |
|---|---|
| Address | 1100 W 10th St, Rolla, Missouri |
| Phone Number | 5733413043 |
| Fax Number | 5733415208 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154487700 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2008-07-14 |
Provider Mailing Address Detail
| Address | 1100 W 10th St |
|---|---|
| City | Rolla |
| State | Missouri (MO) |
| Post Code | 654012937 |
| Phone Number | 5733413043 |
| Fax Number | 5733415208 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | R7G68 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 208534107 | MO | -- |
Post Comment/ Review Below
What is the Randall G. Dudik's 1154487700?
The Randall G. Dudik's NPI (National Provider Identifier) Number is 1154487700. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Randall G. Dudik's facilities are geographically located?
The facilities of Randall G. Dudik are physically situated at the following location: 1100 W 10Th St, Rolla, MO, 654012937.
What is the area of specialization for Randall G. Dudik, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randall G. Dudik is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Randall G. Dudik receive the assignment of its 1154487700 from the Centers for Medicare & Medicaid Services?
The Randall G. Dudik was issued its 1154487700 by the Centers for Medicare & Medicaid Services on 2006-12-28.
As of what date were the Randall G. Dudik's details last updated?
The information pertaining to the Randall G. Dudik, including its address, specialty, and other details, was most recently updated on 2008-07-14.