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James R. Rudd Sr., M.d., Llc
Medical Specialty Clinic/Center in Deridder, Louisiana
NPI 1114223898

James R. Rudd Sr., M.d., Llc is a Medical Specialty Clinic/Center based in Deridder, LA and is specialized in Medical Specialty. James R. Rudd Sr., M.d., Llc practices in Deridder, LA. The NPI Number for James R. Rudd Sr., M.d., Llc is 1114223898 and holds a License No. 15081 (Louisiana).

The current practice location address for James R. Rudd Sr., M.d., Llc is 206 W 5Th St, Deridder, LA and can be reached out via phone at 337-463-5582 and via fax at 337-460-1348.

Location: 206 W 5Th St, Deridder, LA, 70634-4856
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114223898
Provider Name
James R. Rudd Sr., M.d., Llc
Credential
Provider Entity Type
Organization
Address
206 W 5Th St, Deridder, LA, 70634-4856
Phone Number
337-463-5582
Fax Number
337-460-1348
Provider Enumeration Date
01/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1329754 05 LA
institution
Provider Business Practice Location Address Details
Address
206 W 5Th St
City
Deridder
State
Louisiana
Zip
70634-4856
Phone Number
337-463-5582
Fax Number
337-460-1348
person
Provider Business Mailing Address Details
Address
206 W 5Th St
City
Deridder
State
Louisiana
Zip
70634-4856
Phone Number
337-463-5582
Fax Number
337-460-1348
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
15081 (Louisiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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