NPI 1154487700

Randall G. Dudik, MD

Practitioner Family Medicine Physician Rolla, MO

Practice location

Address: 1100 W 10th St Suite 160, Rolla, MO 65401-2937
Phone: (573) 341-3043
Fax: (573) 341-5208
Mailing address: PO Box 2580, Springfield, MO 65801-2580

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence R7G68 (MO)

Other Family Medicine providers in Missouri →

Registry record

NPI: 1154487700
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Dec 2006
Record last updated: 14 Jul 2008

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.