THEODORE L RUDBERG MD PC
Marriage and Family Therapists at Missouri Ave, Phoenix, AZ

License number
Arizona 11018
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: THEODORE L RUDBERG MD
Title: PRESIDENT
Phone: (602) 410-3293
Address
Address 2
777 E Missouri Ave STE 225, Phoenix, AZ 85014
5430 E Sapphire Ln, Scottsdale, AZ 85253
National Provider ID: 1184988115
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THEODORE L. RUDBERG, M.D., PC

5430 E Sapphire Ln, Paradise Valley, AZ 85253

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jun 2, 1982
State ID:
-0147600-6
Expiration:
PERPETUAL
President/ceo, Medical Doctor, Principal:
Theodore L Rudberg (President/ceo, Medical Doctor, Principal), 5430 E Sapphire Ln, Paradise Valley, AZ 85253 (Physical)

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