Whalio Doctors

NPI 1295702124

William Garry Rudolph, MD

Practitioner Occupational Medicine Physician Norfolk, VA

Practice location

Address
1283 Tow Way Drive Code N02m, Norfolk, VA 23511
Phone
(757) 443-5760
Fax
(757) 443-5767
Mailing address
2453 Blue Castle Ln, Virginia Beach, VA 23454-1921

Registered specialties

Occupational Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 0101040327 (VA)

Registry record

NPI
1295702124
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Feb 2006
Record last updated
22 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.