Melissa L Rudolph
Orthodontists
8085 W Bell Rd Suite #103
Peoria
, Arizona 85382-3825
Melissa L Rudolph
Orthodontists
8085 W Bell Rd Suite #103
Peoria
, Arizona 85382-3825
(623) 878-5400
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Melissa L Rudolph
- 8085 W Bell Rd Suite #103
- Peoria, AZ
- Zip : 85382-3825
- Phone : (623) 878-5400
Second Address
- Melissa L Rudolph
- 8085 W Bell Rd Suite #103
- Peoria, AZ
- Zip : 85382-3825
- Phone : (623) 878-5400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223X0400X | Orthodontists | 26166 | TX |
| Y | 1223X0400X | Orthodontists | D8372 | AZ |
National Provider Identifier
| NPI | 1053541888 |
|---|---|
| Provider Name | Melissa L Rudolph |
| First Address | Peoria, AZ 85382-3825 |
| Second Address | Peoria, AZ 85382-3825 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/07/2009 |
| Last Update Date | 05/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.