Individual provider · Type 1 NPI
Carla Rudolph, DO
General Practice Physician · Edgewood, NM
NPI number
1104182328
Active
Practice location
1851 Old US 66
Edgewood, NM 87015-7200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | A-1770-13 (NM) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
9 other providers at this address
- Sandia Mountain Medical, Inc.Family Medicine Physician Edgewood, NM NPI 1609885243
- Alyssa Briana Mirabal, MDFamily Medicine Physician Edgewood, NM NPI 1043773005
- Bebe Makena, OTR/LOccupational Therapist Edgewood, NM NPI 1932449113
- Harry Schnee Messec, MDFamily Medicine Physician Edgewood, NM NPI 1376512632
- Joshua Jones, PA-CPhysician Assistant Edgewood, NM NPI 1962811695
- Kristal Leann Wallace, FNP-BCFamily Nurse Practitioner Edgewood, NM NPI 1801752449
- Larisa Maureen Hart Vasquez, DPTPhysical Therapist Edgewood, NM NPI 1942944699
- Sanford Lee Yankow, MDFamily Medicine Physician Edgewood, NM NPI 1699720714
- Yourah Hwang, CNPFamily Nurse Practitioner Edgewood, NM NPI 1992477756
About NPI 1104182328
Carla Rudolph, DO's National Provider Identifier is 1104182328, issued on Apr 2, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Edgewood, NM. The record was last updated on May 4, 2020.