Daniel Gerrit Rudolph in Festus - Pediatrics
Daniel Gerrit Rudolph - NPI 1861477085
Daniel Gerrit Rudolph is a Pediatrics in Festus, Missouri. Daniel Gerrit Rudolph practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Daniel Gerrit Rudolph is 1861477085. The last update date is 2023-09-21.
Daniel Gerrit Rudolph's current location address is 35 Goodwin Drive, Festus, Missouri. You can contact this provider via phone number 6369334141 and fax number 6369317007. The mailing address for Daniel Gerrit Rudolph is 35 Goodwin Drive, Festus, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Gerrit Rudolph |
|---|---|
| Address | 35 Goodwin Drive, Festus, Missouri |
| Phone Number | 6369334141 |
| Fax Number | 6369317007 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1861477085 |
|---|---|
| Provider Enumeration Date | 2005-12-09 |
| Last Updated Date | 2023-09-21 |
Provider Mailing Address Detail
| Address | 35 Goodwin Drive |
|---|---|
| City | Festus |
| State | Missouri (MO) |
| Post Code | 630284100 |
| Phone Number | 6369334141 |
| Fax Number | 6369317007 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 105323 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 203936901 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Daniel Gerrit Rudolph?
The Daniel Gerrit Rudolph has been issued the NPI (National Provider Identifier) 1861477085 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Daniel Gerrit Rudolph is physically located?
The Daniel Gerrit Rudolph is physically situated at the following address: 35 Goodwin Drive, Festus, MO, 630284100.
What is Daniel Gerrit Rudolph's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Daniel Gerrit Rudolph is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.
On what date did the Daniel Gerrit Rudolph receive its 1861477085 assignment from the Centers for Medicare & Medicaid Services?
The Daniel Gerrit Rudolph was assigned its 1861477085 by the Centers for Medicare & Medicaid Services on 2005-12-09.
As of what date were the Daniel Gerrit Rudolph's details last updated?
The information pertaining to the Daniel Gerrit Rudolph, including its address, specialty, and other details, was most recently updated on 2023-09-21.