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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JANET P. RUDDERHAM, PA-C

Active

MS. JANET P. RUDDERHAM, PA-C is a Medical Physician Assistant healthcare provider located in BELLEVILLE, Illinois. NPI 1366433286 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BELLEVILLE, IL

Registration Details

NPI Number
1366433286
Provider Type
Individual
Gender
Female
NPI Issued
Oct 31, 2005 (20.822758060192 yrs)
Last Updated
Sep 12, 2018
License
085003452 (IL)

Practice Information

Address
311 W LINCOLN ST STE 101
BELLEVILLE, IL, 622201902
Browse IL providers · Browse ZIP 62220
Phone
6182223200
Fax
6182223203
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in BELLEVILLE, IL

Name Credential NPI
JEAN SCHUMAKER PAC 1134129109
KATHLEEN KEITHLEY PA-C 1760457352
COURTNEY DORAN I PA 1306882386
ELIZABETH CUE CYRUS P.A. 1609804962
KEVIN WILSON PA-C 1063424984
MARC G BOYER PA-C 1912090838
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.