| Joseph Rudolph, MD | |
|
1011 Bowles Ave, Suite 300, Fenton, MO 63026-2395 | |
| (314) 496-5000 | |
| (314) 496-5015 |
| Full Name | Joseph Rudolph |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1011 Bowles Ave, Fenton, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376561464 | NPI | - | NPPES |
| 202083069 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | MOR4E01 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Rudolph, MD 10777 Sunset Office Dr, Suite 310, Saint Louis, MO 63127-1019 Ph: (314) 822-5900 | Joseph Rudolph, MD 1011 Bowles Ave, Suite 300, Fenton, MO 63026-2395 Ph: (314) 496-5000 |
Lori Hugg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1345 Smizer Mill Rd, Fenton, MO 63026 Phone: 636-496-5021 | |
Miss Manasi Suhas Hulyalkar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1203 Smizer Mill Rd Ste 108, Fenton, MO 63026 Phone: 636-717-1340 | |
Dr. Lauren Elizabeth Jones, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 714 Gravois Rd, Ste 200, Fenton, MO 63026 Phone: 636-349-5437 Fax: 636-349-6663 | |
Dr. Sue E Jagler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 714 Gravois Rd, Ste 200, Fenton, MO 63026 Phone: 636-349-5437 Fax: 636-349-6663 | |
Dr. Andrew L Karanas, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 10 Bowles Ave, Fenton, MO 63026 Phone: 636-496-2502 | |
Dr. Stephen E. Thierauf, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1203 Smizer Mill Rd, Ste 108, Fenton, MO 63026 Phone: 636-717-1340 Fax: 636-717-1344 |