William Garth Rudolph, M.D.
Colon & Rectal Surgery in Virginia Beach, VA. Individual provider (NPI-1).
NPI number1407917875
StatusActive
Last updated in NPPESOct 15, 2024
Details
- NPI
- 1407917875
- Entity type
- Individual (NPI-1)
- Name
- William Garth Rudolph
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2006
- Certification date
- Oct 15, 2024
- Last updated
- Oct 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208C00000X | Colon & Rectal Surgery | 0101241931 | VA | Yes |
| 208600000X | Surgery | 0101241931 | VA |
Practice location
1080 First Colonial RdSuite 200
Virginia Beach, VA 23454-2406
Phone 757-395-6070 · Fax 757-395-6381
Mailing address
1080 First Colonial RdSuite 200
Virginia Beach, VA 23454-2406
Phone 757-395-6070 · Fax 757-395-6381
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Other Colon & Rectal Surgery Physician providers in Virginia Beach, VA
- Beth Rachelle Jaklic, M.D.NPI 1396725636
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All 5 Colon & Rectal Surgery Physician providers in Virginia Beach · All 12,483 providers in Virginia Beach
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