Jill A Dudik Bross in Moses Lake - Pediatrics

Jill A Dudik Bross - NPI 1205837242

Jill A Dudik Bross is a Pediatrics in Moses Lake, Washington. Jill A Dudik Bross practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jill A Dudik Bross is 1205837242. The last update date is 2010-03-29.

Jill A Dudik Bross's current location address is 615 S Division St, Moses Lake, Washington. You can contact this provider via phone number 5097669450 and fax number 5097661954. The mailing address for Jill A Dudik Bross is 615 S Division St, Moses Lake, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill A Dudik Bross
Address 615 S Division St, Moses Lake, Washington
Phone Number 5097669450
Fax Number 5097661954
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1205837242
Provider Enumeration Date 2005-08-01
Last Updated Date 2010-03-29

Provider Mailing Address Detail

Address 615 S Division St
City Moses Lake
State Washington (WA)
Post Code 988373800
Phone Number 5097669450
Fax Number 5097661954

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No MD00025968
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1102730 WA --

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FAQs about Jill A Dudik Bross

What is the unique provider identifier assigned to Jill A Dudik Bross?

The Jill A Dudik Bross has been issued the NPI (National Provider Identifier) 1205837242 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Jill A Dudik Bross's facilities are situated?

The facilities of Jill A Dudik Bross are physically located at the following address: 615 S Division St, Moses Lake, WA, 988373800.

What is Jill A Dudik Bross's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jill A Dudik Bross is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1205837242 to Jill A Dudik Bross?

The Jill A Dudik Bross received its 1205837242 assignment from the Centers for Medicare & Medicaid Services on 2005-08-01.

When was the information regarding Jill A Dudik Bross, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jill A Dudik Bross, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-03-29.

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