Carla Rudolph, DO

NPI #1104182328 in Edgewood, New Mexico

Provider Information

NPI Number: 1104182328
Entity Type: Individual
Name: Carla Rudolph, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: DO
Enumeration Date: Apr 2, 2012
Last Updated: May 4, 2020

Practice Location

Address: 1851 OLD US 66
City: Edgewood
State: New Mexico
ZIP Code: 87015-7200
Phone: (505) 286-2396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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