Paul Edward Dudley in Onawa - Family Medicine

Paul Edward Dudley - NPI 1194721332

Paul Edward Dudley is a Family Medicine in Onawa, Iowa. Paul Edward Dudley practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Paul Edward Dudley is 1194721332. The last update date is 2007-10-08.

Paul Edward Dudley's current location address is 1614 Diamond Street Pl, Onawa, Iowa. You can contact this provider via phone number 7124231525 and fax number 7124232528. The mailing address for Paul Edward Dudley is 1614 Diamond Street Pl, Onawa, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul Edward Dudley
Address 1614 Diamond Street Pl, Onawa, Iowa
Phone Number 7124231525
Fax Number 7124232528
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1194721332
Provider Enumeration Date 2005-06-22
Last Updated Date 2007-10-08

Provider Mailing Address Detail

Address 1614 Diamond Street Pl
City Onawa
State Iowa (IA)
Post Code 5104015540
Phone Number 7124231525
Fax Number 7124232528

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 29427
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
80057253 IA RAILROAD MEDICARE
100842 IA --
12602 IA BLUE SHIELD OF IOWA

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FAQs about Paul Edward Dudley

What is the unique 10-digit identification code assigned to Paul Edward Dudley by the Centers for Medicare & Medicaid Services?

The Paul Edward Dudley has been issued the NPI (National Provider Identifier) 1194721332, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Paul Edward Dudley's facilities are situated?

The facilities of Paul Edward Dudley are physically located at the following address: 1614 Diamond Street Pl, Onawa, IA, 5104015540.

What is Paul Edward Dudley's specialized field of practice, and what is the corresponding taxonomy classification code?

The Paul Edward Dudley's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1194721332 to Paul Edward Dudley?

The Paul Edward Dudley received its 1194721332 assignment from the Centers for Medicare & Medicaid Services on 2005-06-22.

When was the Paul Edward Dudley's information last updated?

The Paul Edward Dudley's information was last updated on 2007-10-08.

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