Dudley, Morton D

Dudley, Morton D is an individual health care provider with primary practice located at 1229 Madison St Suite 900, Seattle WA 98104-3586. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Dudley, Morton D can be contacted via phone (206) 292-6233.

Contact Information

Primary practice address
1229 Madison St Suite 900 Seattle WA 98104-3586
Fax: (206) 292-7764
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00021531 Washington
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD00021531 Washington

Profile Details

NPI number 1245273499
LBN Legal business name Dudley, Morton D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Oct 5th, 2012 - about 12 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 1245273499 NPPES
Washington MEDICAID 1004589

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