Doctor Name: | JOSEPH RUDOLPH |
NPI Number: | 1376561464 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MOR4E01 |
Business Practice Address: | 1011 Bowles Ave Suite 300 Fenton, MO - 630262395 |
Business Phone Number: | 3144965000 |
Business Fax Number: | 3144965015 |
Mailing Address: | 10777 Sunset Office Dr, Suite 310 SAINT LOUIS |
State: | MO |
Postal Code: | 631271019 |
Phone Number: | 3148225900 |
Fax Number: | 3148225919 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 09/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | MOR4E01 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |