Theodore L Rudberg MD PC
Theodore L Rudberg MD PC is a Family Medicine Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2012.
- Licensed in
- AZ
- In the registry since
- 2012
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
777 E Missouri Ave Ste 225Phoenix, AZ 85014-2830
Phone: (602) 263-8958
Fax: (602) 277-5661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 11018 (AZ) |
|---|
Record details
| NPI number | 1184988115 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Theodore Rudberg — President · (602) 410-3293 |
| NPI enumerated | June 25, 2012 |
| Last updated in NPPES | June 25, 2012 |
| Mailing address | 5430 E Sapphire Ln, Paradise Valley, AZ 85253-2533 |
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