Daniel Gerrit Rudolph
MD | Pediatrics | Male
Daniel Gerrit Rudolph, MD is a Festus, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Daniel Gerrit Rudolph is
35 Goodwin Dr, Festus, Missouri - 63028-4122. He can be contacted on phone at
636-933-4141 and fax number 636-931-7007.
Daniel Gerrit Rudolph is a sole proprietor of his business.
NPI number (Unique professional ID) for Daniel Gerrit Rudolph is
1861477085 which was assigned by NPPES on 09 Dec, 2005 and it was last updated on 07 Feb, 2014.
Daniel Gerrit Rudolph license number is
105323 for Pediatrics (208000000X) in Missouri.
Daniel Gerrit Rudolph is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Daniel Gerrit Rudolph basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Daniel Gerrit Rudolph |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Daniel Gerrit Rudolph address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 35 Goodwin Dr
Festus, MO, 63028-4122
United States |
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| Phone Number : | 636-933-4141 |
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| Fax Number : | 636-931-7007 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1861477085 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Dec, 2005 |
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| Last Updated On : | 07 Feb, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Daniel Gerrit Rudolph are as mentioned. Primary taxonomy code for Daniel Gerrit Rudolph, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 105323 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Daniel Gerrit Rudolph such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 203936901 | MEDICAID | MO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 35 Goodwin Drive
Festus, MO, 63028-4100
United States |
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| Phone Number : | 636-933-4141 |
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| Fax Number : | 636-931-7007 |
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Business Location:
Patients can refer following map for directions to
Daniel Gerrit Rudolph practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.