Gregory David Rudolf in Seattle - Addiction Medicine

Gregory David Rudolf - NPI 1518079664

Gregory David Rudolf is a Addiction Medicine in Seattle, Washington. Gregory David Rudolf practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Gregory David Rudolf is 1518079664. The last update date is 2009-03-24.

Gregory David Rudolf's current location address is 1101 Madison St, Seattle, Washington. You can contact this provider via phone number 2063862013. The mailing address for Gregory David Rudolf is 1101 Madison St, Seattle, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gregory David Rudolf
Address 1101 Madison St, Seattle, Washington
Phone Number 2063862013
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PHYSICIAN
Authorized Official Name Rudolf David Gregory
Credentials MD
Telephone Number 2063862013

NPI Number Detail

NPI Number 1518079664
Provider Enumeration Date 2006-08-31
Last Updated Date 2009-03-24

Provider Mailing Address Detail

Address 1101 Madison St
City Seattle
State Washington (WA)
Post Code 981041306
Phone Number 2063862013
Fax Number

Provider's Primary Taxonomy Detail

Speciality Addiction Medicine
Taxonomy 207Qa0401X
Licence No MD00041809
Definition:
A family medicine physician who specializes in the diagnosis and treatment of addictions.

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FAQs about Gregory David Rudolf

What is the unique 10-digit identification code assigned to Gregory David Rudolf by the Centers for Medicare & Medicaid Services?

The Gregory David Rudolf has been issued the NPI (National Provider Identifier) 1518079664, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Gregory David Rudolf is physically located?

The Gregory David Rudolf is physically situated at the following address: 1101 Madison St, Seattle, WA, 981041306.

What is Gregory David Rudolf's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gregory David Rudolf is Addiction Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qa0401X.

On what date did the Centers for Medicare & Medicaid Services issue the 1518079664 to Gregory David Rudolf?

The Gregory David Rudolf received its 1518079664 assignment from the Centers for Medicare & Medicaid Services on 2006-08-31.

When was the information regarding Gregory David Rudolf, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Gregory David Rudolf, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-03-24.

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