| Winston Earl Rudder, PAC | |
|
6186 Adobe Rd, 29 Palms, CA 92277-2652 | |
| (760) 361-8525 | |
| (760) 361-8528 |
| Full Name | Winston Earl Rudder |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 6186 Adobe Rd, 29 Palms, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912122276 | NPI | - | NPPES |
| PA09612 | Other | TX | LICENSE |
| 15830 | Other | CA | LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA09612 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA15830 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Winston Earl Rudder, PAC 6186 Adobe Rd, 29 Palms, CA 92277-2652 Ph: (760) 361-8525 | Winston Earl Rudder, PAC 6186 Adobe Rd, 29 Palms, CA 92277-2652 Ph: (760) 361-8525 |
Mr. Gerald Quentin Burnett Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 72724 29 Palms Hwy, Suite 103, 29 Palms, CA 92277 Phone: 760-367-5906 |