RANDALL L. RUDEEN MD PA NPI 1336400043

NPI Information

NPI: 1336400043
Provider Name: RANDALL L. RUDEEN MD PA

Other Name: WOMEN'S MEDICAL CLINIC

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
1603 12TH AVE RD
SUITE B
NAMPA, ID
ZIP 83686
Phone: (208) 467-2400
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RANDALL L. RUDEEN MD PA is a gynecology obstetrics gynecology in Nampa, ID. RANDALL L. RUDEEN MD PA NPI is 1336400043. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Women's Medical Clinic.

The provider's business location address is:

1603 12TH AVE RD
SUITE B
NAMPA, ID
ZIP 83686-712
Phone: (208) 467-2400
Fax: (208) 467-6416

The provider's authorized official is Randall L Rudeen .
The authorized official title is Doctor/owner and has the following contact phone number (208) 467-2400.

The enumeration date for this NPI number is 5/30/2012 and was last updated on 5/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	M5040	IDAHO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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