David Lee Dudgeon in Mesa - Pediatric Surgery
David Lee Dudgeon - NPI 1093717647
David Lee Dudgeon is a Pediatric Surgery in Mesa, Arizona. David Lee Dudgeon practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for David Lee Dudgeon is 1093717647. The last update date is 2007-07-08.
David Lee Dudgeon's current location address is 1432 S Dobson Rd, Mesa, Arizona. You can contact this provider via phone number 4804649400 and fax number 4804649401. The mailing address for David Lee Dudgeon is 1432 S Dobson Rd, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Lee Dudgeon |
|---|---|
| Address | 1432 S Dobson Rd, Mesa, Arizona |
| Phone Number | 4804649400 |
| Fax Number | 4804649401 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093717647 |
|---|---|
| Provider Enumeration Date | 2005-08-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1432 S Dobson Rd |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852024768 |
| Phone Number | 4804649400 |
| Fax Number | 4804649401 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 29282 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 566367 | AZ | -- | |
| AZ0885400 | AZ | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to David Lee Dudgeon by the Centers for Medicare & Medicaid Services?
The David Lee Dudgeon has been assigned the NPI (National Provider Identifier) 1093717647 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of David Lee Dudgeon?
The David Lee Dudgeon is situated at 1432 S Dobson Rd, in the city of Mesa, state of AZ, with the zip code 852024768.
What is David Lee Dudgeon's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Lee Dudgeon's area of specialization is Pediatric Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0120X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093717647 to David Lee Dudgeon?
The Centers for Medicare & Medicaid Services assigned the 1093717647 to David Lee Dudgeon on 2005-08-12.
As of what date was the information regarding David Lee Dudgeon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Lee Dudgeon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.