Joseph Rudolph
M.D. | Pediatrics | Male
Joseph Rudolph, M.D. is a Fenton, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Joseph Rudolph is
1011 Bowles Ave, Suite 300, Fenton, Missouri - 63026-2395. He can be contacted on phone at
314-496-5000 and fax number 314-496-5015.
Joseph Rudolph is a sole proprietor of his business.
NPI number (Unique professional ID) for Joseph Rudolph is
1376561464 which was assigned by NPPES on 17 Jul, 2006 and it was last updated on 02 Sep, 2009.
Joseph Rudolph license number is
MOR4E01 for Pediatrics (208000000X) in Missouri.
Joseph 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:
Joseph Rudolph basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Joseph Rudolph |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Joseph 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 : | 1011 Bowles Ave, Suite 300
Fenton, MO, 63026-2395
United States |
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| Phone Number : | 314-496-5000 |
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| Fax Number : | 314-496-5015 |
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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 : | 1376561464 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Jul, 2006 |
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| Last Updated On : | 02 Sep, 2009 |
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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 Joseph Rudolph are as mentioned. Primary taxonomy code for Joseph Rudolph, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MOR4E01 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Joseph Rudolph such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 202083069 | 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 : | 10777 Sunset Office Dr, Suite 310
Saint Louis, MO, 63127-1019
United States |
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| Phone Number : | 314-822-5900 |
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| Fax Number : | 314-822-5919 |
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Business Location:
Patients can refer following map for directions to
Joseph 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.