Dudgeon, David Lee
Dudgeon, David Lee is an individual health care provider with primary practice located at 1432 S Dobson Rd Suite 301, Mesa AZ 85202-4768. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Dudgeon, David Lee can be contacted via phone (480) 464-9400.Contact Information
Primary practice address
1432 S Dobson Rd Suite 301
Mesa AZ 85202-4768
Phone: (480) 464-9400
Fax: (480) 464-9401
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | 29282 | Arizona |
Profile Details
NPI number | 1093717647 |
---|---|
LBN Legal business name | Dudgeon, David Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2005 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093717647 | NPPES |
Arizona | MEDICAID | 566367 | |
Arizona | Other | AZ0885400 |
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