Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN RUDOLPH
Active Sole ProprietorSUSAN RUDOLPH is a Podiatric Surgery healthcare provider located in LARKSPUR, Colorado. NPI 1134760283 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · LARKSPUR, CO
Registration Details
- NPI Number
- 1134760283
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 30, 2019 (6.8956513192475 yrs)
- Last Updated
- Sep 30, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
4556 SHOSHONE DRLARKSPUR, CO, 801188451Browse CO providers · Browse ZIP 80118
- Phone
- 3036810743
- Primary Specialty
-
Podiatric Surgery
3747A0650X
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.