Winston Earl Rudder in Yucca Valley - Physician Assistant
Winston Earl Rudder - NPI 1912122276
Winston Earl Rudder is a Physician Assistant in Yucca Valley, California. Winston Earl Rudder practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Winston Earl Rudder is 1912122276. The last update date is 2022-05-03.
Winston Earl Rudder's current location address is 58471 29 Palms Hwy Ste 303, Yucca Valley, California. You can contact this provider via phone number 7603650851 and fax number 2105826601. The mailing address for Winston Earl Rudder is 58471 29 Palms Hwy Ste 303, Yucca Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Winston Earl Rudder |
|---|---|
| Address | 58471 29 Palms Hwy Ste 303, Yucca Valley, California |
| Phone Number | 7603650851 |
| Fax Number | 2105826601 |
| Sole Proprietor | N |
| Credentials | PAC |
NPI Number Detail
| NPI Number | 1912122276 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2022-05-03 |
Provider Mailing Address Detail
| Address | 58471 29 Palms Hwy Ste 303 |
|---|---|
| City | Yucca Valley |
| State | California (CA) |
| Post Code | 922845818 |
| Phone Number | 7603650851 |
| Fax Number | 2105826601 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA15830 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15830 | CA | LICENSE # | |
| PA0962 | TX | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Winston Earl Rudder by the Centers for Medicare & Medicaid Services?
The Winston Earl Rudder has been issued the NPI (National Provider Identifier) 1912122276 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Winston Earl Rudder is geographically located?
The Winston Earl Rudder is physically situated at the following location: 58471 29 Palms Hwy Ste 303, Yucca Valley, CA, 922845818.
What is the Winston Earl Rudder's specialty and taxonomy code?
The Winston Earl Rudder's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912122276 to Winston Earl Rudder?
The Centers for Medicare & Medicaid Services assigned the 1912122276 to Winston Earl Rudder on 2007-04-13.
When was the information pertaining to Winston Earl Rudder most recently updated or revised?
The details related to Winston Earl Rudder, including its address, specialty, and other relevant information, were last updated or revised on 2022-05-03.