Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLA RUDOLPH, DO
ActiveCARLA RUDOLPH, DO is a General Practice healthcare provider located in EDGEWOOD, New Mexico. NPI 1104182328 is currently active in the NPPES registry. Verify at CMS.
General Practice · EDGEWOOD, NM
Registration Details
- NPI Number
- 1104182328
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2012 (14.384617994597 yrs)
- Last Updated
- May 4, 2020
- License
-
A-1770-13 (NM)
Practice Information
- Address
-
1851 OLD US 66EDGEWOOD, NM, 870157200Browse NM providers · Browse ZIP 87015
- Phone
- 5052862396
- Primary Specialty
-
General Practice
208D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.