Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN CONRAD RUDERSDORF, MD
Active Sole ProprietorJOHN CONRAD RUDERSDORF, MD is a Psychiatric Neurology healthcare provider located in PARKER, Colorado. NPI 1871756353 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Neurology · PARKER, CO
Registration Details
- NPI Number
- 1871756353
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2008 (18.153845768715 yrs)
- Last Updated
- Jul 8, 2015
- Licenses
-
2008014001 (MO)DR.0055461 (CO)DR.0055461 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10350 DRANSFELDT RDSUITE 100PARKER, CO, 801349673Browse CO providers · Browse ZIP 80134
- Phone
- 3038054312
- Primary Specialty
-
Psychiatric Neurology
2084P0804X
- Additional Specialty
- Psychiatric Neurology
- Additional Specialty
- Psychiatry
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.