Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYCE RUDEK, ATC
Active Sole ProprietorBRYCE RUDEK, ATC is a Sports Medicine healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1679936348 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · TAHLEQUAH, OK
Registration Details
- NPI Number
- 1679936348
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2016 (10.327743785628 yrs)
- Last Updated
- Mar 31, 2016
- License
-
AT4225 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
591 PENDLETON STTAHLEQUAH, OK, 744642271Browse OK providers · Browse ZIP 74464
- Phone
- 9184584154
- Primary Specialty
-
Sports Medicine
207QS0010X
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.