Organization Name: | ZELLA RUDD |
NPI Number: | 1053458877 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ZELLA RUDD (OWNER FITTER) |
Mailing Address: | 710b N Marion St Kirksville |
State: | MO US |
Postal Code: | 635012970 |
Phone Number: | 6606656429 |
Fax Number: | 6606656429 |
NPI Enumeration Date: | 01/31/2007 |
NPI Last Update Date: | 07/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |