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DR. RANDALL G. DUDIK MD
NPI 1154487700
Family Medicine in Rolla, MO

Active since December 28, 2006
1100 W 10TH ST, SUITE 160, ROLLA, MO 65401(573) 341-3043(573) 341-5208 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randall G. Dudik Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDALL G. DUDIK MD (NPI 1154487700) is an individual family medicine provider in Rolla, Missouri, licensed in Missouri (R7G68) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1154487700
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RANDALL G. DUDIKCredential: MD
Location Address1100 W 10TH ST, SUITE 160Rolla, MO 65401-2937
Mailing AddressPo Box 2580Springfield, MO 65801-2580 · (417) 829-4620 · Fax (417) 829-4316
Phone(573) 341-3043
Fax(573) 341-5208
Sole ProprietorNo
Enumeration DateDecember 28, 2006
Last NPPES UpdateJuly 14, 2008
✔ NPI 1154487700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · R7G68
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1100 W 10TH ST, Rolla, MO 65401
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Other Identifiers 3

Medicaid208534107MO
Medicare PIN918223230MO
Medicare UPINB22383MO

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCY HOSPITAL SPRINGFIELD
Durable Medical Equipment & Medical Supplies
1100 W 10TH ST, SUITE 150
ROLLA, MO 65401
Phelps County (573) 426-2244
DR. LUTHER D. SPURLOCK MD
Family Medicine
1100 W 10TH ST, SUITE 160
ROLLA, MO 65401
Phelps County (573) 341-3043
DR. SEAN A. MCENANEY MD
Pediatrics
1100 W 10TH ST, SUITE 175
ROLLA, MO 65401
Phelps County (573) 341-9163
DR. VERA MIKHAILOVA MD
Pediatrics
1100 W 10TH ST, SUITE 175
ROLLA, MO 65401
Phelps County (573) 341-9163

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Dudik's NPI number?

The NPI number for Randall Dudik is 1154487700. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Randall Dudik located?

Randall Dudik practices at 1100 W 10th St Suite 160, Rolla, MO 65401. The listed phone number is (573) 341-3043.

What is Randall Dudik's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Randall Dudik was last updated on July 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.