Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN BRADLEY RUDOLPH, D.O.
Active Sole ProprietorDR. JOHN BRADLEY RUDOLPH, D.O. is a Family Medicine healthcare provider located in LEWISTON, Idaho. NPI 1548503022 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LEWISTON, ID
Registration Details
- NPI Number
- 1548503022
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2013 (13.356963160353 yrs)
- Last Updated
- Dec 26, 2024
- Licenses
-
OP60506022 (WA)O-0990 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 6TH ST STE 3CLEWISTON, ID, 835012431Browse ID providers · Browse ZIP 83501
- Phone
- 2087507300
- Fax
- 2087464899
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LEWISTON, ID
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTINE C SCHALLER | MD | 1063415404 |
| DR. DONALD J GREGGAIN | M.D. | 1154328052 |
| MR. RAYMOND M. PAZ | M.D. | 1760475206 |
| LARRY DEAN HARRIES | MD | 1033105994 |
| RICHARD SCOTT LEON | MD | 1972562841 |
| DR. MICHAEL J BALDECK | D.O. | 1669428967 |
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.