Varner E. Dudley, Iii, M.D., Inc

LBN: Varner E. Dudley, Iii, M.D., Inc
Varner E. Dudley, Iii, M.D., Inc is an health care organization with primary practice located at 1509 Wilson Ter , Glendale CA 91206-4007. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Varner E. Dudley, Iii, M.D., Inc can be contacted via phone (818) 409-8000, or through Dudley, Varner E. via phone (626) 584-1556.

Contact Information

Primary practice address
1509 Wilson Ter Glendale CA 91206-4007
Phone: (818) 409-8000
Fax: (818) 546-5632
Website:
Map and Directions
Authorized official contact:
Name: Dudley, Varner E. Doctor of Medicine (MD)
Phone: (626) 584-1556

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G55075 California

Profile Details

NPI number 1013067578
LBN Legal business name Varner E. Dudley, Iii, M.D., Inc
DBA Doing business as
Authorized official Dudley, Varner E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated Feb 19th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013067578 NPPES
California Other 00G550750 BLUE SHIELD
California MEDICAID 00G550750 BLUE SHIELD

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