person
Harold Scott Rudicil, PA
Surgical Physician Assistant in Winston Salem, North Carolina
NPI 1053395434

Harold Scott Rudicil is a Surgical Physician Assistant based in Winston Salem, NC and is specialized in Surgical. Harold Scott Rudicil practices in Winston Salem, NC and has the professional credentials of PA. The NPI Number for Harold Scott Rudicil is 1053395434 and holds a License No. 000101579 (North Carolina).

The current practice location address for Harold Scott Rudicil is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2255 and via fax at 336-716-8018. You can also correspond with Harold Scott Rudicil through the mailing address at PO BOX 344, WINSTON SALEM, NC - 27102-0344 (mailing address contact number: 336-716-2255).

Location: Medical Center Blvd, Winston Salem, NC, 27102-0344
person
Provider Profile Details
NPI Number
1053395434
Provider Name
Harold Scott Rudicil
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Blvd, Winston Salem, NC, 27102-0344
Phone Number
336-716-2255
Fax Number
336-716-8018
Provider Enumeration Date
11/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970025562 01 RR MEDICARE
94702 01 MEDCOST
7103756 01 AETNA
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-8018
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-8018
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
000101579 (North Carolina)
Definition
Definition to come...
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