| Daniel Gerrit Rudolph, MD | |
|
35 Goodwin Dr, Festus, MO 63028-4122 | |
| (636) 933-4141 | |
| (636) 931-7007 |
| Full Name | Daniel Gerrit Rudolph |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 35 Goodwin Dr, Festus, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861477085 | NPI | - | NPPES |
| 203936901 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 105323 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Gerrit Rudolph, MD 35 Goodwin Drive, Festus, MO 63028-4100 Ph: (636) 933-4141 | Daniel Gerrit Rudolph, MD 35 Goodwin Dr, Festus, MO 63028-4122 Ph: (636) 933-4141 |
Joshua Paul Boldt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 35 Goodwin Dr, Festus, MO 63028 Phone: 636-933-4141 Fax: 636-931-7007 | |
Venkata Nagireddi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1463 Us Highway 61, Suite C, Festus, MO 63028 Phone: 636-937-2755 Fax: 636-933-2910 | |
Natalie Joan Wilson, CPNP Pediatrics Medicare: Medicare Enrolled Practice Location: 1463 Us Hwy 61, Suite C, Festus, MO 63028 Phone: 314-596-6541 Fax: 636-933-2910 | |
Dr. Kalpana Veeramreddy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1463 Us Highway 61, Festus, MO 63028 Phone: 636-937-2755 Fax: 636-933-2910 |