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
Fax: (480) 464-9401
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093717647 NPPES
Arizona MEDICAID 566367
Arizona Other AZ0885400

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