Daniel Gerrit Rudolph, MD

Pediatrics Physician · Festus, MO

Individual Active NPI

NPI number 1861477085

Practice location

35 Goodwin Dr
Festus, MO 63028-4122
Phone
(636) 933-4141
Fax
(636) 931-7007

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NPI record

NPI
1861477085
Entity type
Individual (Type 1)
Enumeration date
December 9, 2005
Last updated
September 21, 2023
Certified
September 21, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 105323 MO

Mailing address

35 Goodwin Drive
Festus, MO 63028-4100
Phone
(636) 933-4141
Fax
(636) 931-7007

About Dr. Rudolph

Daniel Gerrit Rudolph, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 35 Goodwin Dr, Festus, MO 63028-4122. The NPI number 1861477085 was assigned on December 9, 2005 and the record was last updated on September 21, 2023.

Dr. Rudolph lists a license in the registry: #105323 (MO) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daniel Gerrit Rudolph, MD?

The NPI number is 1861477085.

What is the phone number of Dr. Rudolph?

The phone number listed for the practice location is (636) 933-4141.

Where is Dr. Rudolph located?

35 Goodwin Dr, Festus, MO 63028-4122.

What is the taxonomy code for Dr. Rudolph?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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