CARLA RUDOLPH, DO
General Practice
Active
Individual
NPI: 1104182328
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| General Practice | 208D00000X | Yes | A-1770-13 (NM) |
Frequently Asked Questions
NPI 1104182328 is the National Provider Identifier for CARLA RUDOLPH, DO, a General Practice provider located in Edgewood, NM. This NPI was enumerated on April 2, 2012.
CARLA RUDOLPH, DO practices at 1851 OLD US 66, Edgewood, NM 87015.
Quick Facts
- NPI
- 1104182328
- Type
- Individual
- Enumerated
- Apr 2, 2012
- Last Updated
- May 4, 2020
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