Dudley, James R

Dudley, James R is an individual health care provider with primary practice located at 1475 Pine Grove Rd Suite 102, Steamboat Springs CO 80487-8803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dudley, James R can be contacted via phone (970) 879-0203.

Contact Information

Primary practice address
1475 Pine Grove Rd Suite 102 Steamboat Springs CO 80487-8803
Phone: (970) 879-0203
Fax: (970) 879-1389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 18625 Colorado

Profile Details

NPI number 1326141359
LBN Legal business name Dudley, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Feb 21st, 2014 - about 10 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 1326141359 NPPES
Colorado Other 080085877 RAILROAD MEDICARE
Colorado MEDICAID 01186253 RAILROAD MEDICARE

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