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Primary Practice Address
415 6TH ST STE 3C
LEWISTON, ID 83501-2431 US
Accepts Medicare Payment

PECOS Enrolled

John Bradley Rudolph

Family Medicine Physician


Overview

John Bradley Rudolph is a Family Medicine Physician in the LEWISTON area and has over 12 years of experience. John Bradley Rudolph primary office location is at 415 6TH ST STE 3C and new patients are welcome to contact this healthcare provider for an appointment. We do not know where he was educated but we know that he graduated in 2013

John Bradley Rudolph is affiliated with nine hospitals in the LEWISTON area, including . The NPI number is 1548503022 and the information was updated approximately 1 year ago.

John Bradley Rudolph is part of three medical groups, including HNI HOSPITALISTS OF IDAHO LLC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Yes

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
415 6TH ST STE 3C
LEWISTON, ID 83501-2431 US
Phone: (208)-750-7300
Fax:
Practice Mailing Information
625 6TH AVE
LEWISTON, ID 83501-2431 US
Phone: (208)-750-7464
Fax: (208)-750-7467
License Number State
O-0990 ID
OP60506022 WA