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RANDALL L. RUDEEN, M.D., P.A.

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Company Details

Name: RANDALL L. RUDEEN, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 19 Jul 1989 (36 years ago)
Financial Date End: 31 Jul 2020
Date dissolved: 31 Dec 2019
Entity Number: 279363
Place of Formation: IDAHO
File Number: 279363
ZIP code: 83646
County: Ada County
Mailing Address: 6904 N SPURWING WAY MERIDIAN, ID 83646-5177

Agent

Name Role Address
RANDALL L RUDEEN MD Agent 6904 NORTH SPURWING WAY, MERIDIAN, ID 83646

National Provider Identifier

NPI Number:
1336400043

Authorized Person:

Name:
DR. RANDALL L RUDEEN
Role:
DOCTOR/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207VG0400X - Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
2084676416

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0003723068 2019-12-31
Annual Report 0003551994 2019-06-25
Annual Report 0002112347 2018-07-08
Annual Report 0002112345 2017-07-14
Annual Report 0002112343 2016-07-04

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Date of last update: 27 Jun 2025

Sources: Idaho Secretary of State