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

DR. NICHOLAS ADAM RUDLOFF, D.O.

Active Sole Proprietor

DR. NICHOLAS ADAM RUDLOFF, D.O. is a Dermatology healthcare provider located in RIVERSIDE, Missouri. NPI 1407006364 is currently active in the NPPES registry. Verify at CMS.

Dermatology · RIVERSIDE, MO

Registration Details

NPI Number
1407006364
Provider Type
Individual
Gender
Male
NPI Issued
Sep 26, 2008 (17.875983432634 yrs)
Last Updated
Feb 18, 2021
License
2014025262 (MO)
Sole Proprietor
Yes

Practice Information

Address
1805 NW PLATTE RD STE 120
RIVERSIDE, MO, 641507500
Browse MO providers · Browse ZIP 64150
Phone
8164720400
Primary Specialty
Dermatology
207N00000X

Other Dermatology Providers in RIVERSIDE, MO

Name Credential NPI
DR. BRIAN MARTIN MATTHYS D.O. 1982631172
DR. MOLLY BEA MENSER D.O. 1306049010
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.