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DR. MICHAEL DENNIS RUDNICK M.D., PH.D.

Adolescent Medicine >> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1033254974

Individual Registrant:
DR. MICHAEL DENNIS RUDNICK M.D., PH.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
28101 E QUINCY AVE  WATKINS, CO 80137-9502 US
Tel: 303-214-1131  Fax: 303-766-2042

Contact information for business:
28101 E QUINCY AVE  WATKINS, CO 80137-9502 US
Tel: 303-214-1131  Fax: 303-766-2042

Registration Information:
NPI: 1033254974
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2080A0000XAllopathic & Osteopathic Physicians
Pediatrics
Adolescent Medicine
CO30130

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
01301308CO05




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