NPI 1336400043

Randall L. Rudeen MD PA

Organisation Gynecology Physician Nampa, ID

Practice location

Address: 1603 12th Ave Rd Suite B, Nampa, ID 83686-7712
Phone: (208) 467-2400
Fax: (208) 467-6416

Authorised official

Name: Randall L Rudeen
Title: Doctor/Owner
Phone: (208) 467-2400

Registered specialties

Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207VG0400X Licence M5040 (ID)

Other Obstetrics & Gynecology providers in Idaho →

Registry record

NPI: 1336400043
Entity type: Organization
NPI issued: 30 May 2012
Record last updated: 30 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.