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Shireen Rudderow

Female

Medical Specialty

Family Practice

Professional ID

NPI: 1124113121
PECOS ID: 7012966062
Enrollment ID: I20111215000310
Credential(MD, DO, DPM): MD
Medical School: Saint Louis University School Of Medicine
Medical School Graduation Year: 2001

Medical Practices

Organization Name: Davita Medical Group Colorado Springs, Llc
Group Practice ID assigned by PECOS: 2769706431
Number of Group Practice member: 150

Location

Address1: 1633 Medical Ctr Pt
Address2:
City: Colorado Springs
State: Colorado
Zip Code: 80907
Phone Number: (719)570-0640

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
Used Electronic health record (EHR): Yes