David Lee Dudgeon
Pediatric Surgery
1432 S Dobson Rd Suite 301
Mesa
, Arizona 85202-4768
David Lee Dudgeon
Pediatric Surgery
1432 S Dobson Rd Suite 301
Mesa
, Arizona 85202-4768
(480) 464-9401
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- David Lee Dudgeon
- 1432 S Dobson Rd Suite 301
- Mesa, AZ
- Zip : 85202-4768
- Fax : (480) 464-9401
- Phone : (480) 464-9400
Second Address
- David Lee Dudgeon
- 1432 S Dobson Rd Suite 301
- Mesa, AZ
- Zip : 85202-4768
- Fax : (480) 464-9401
- Phone : (480) 464-9400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 29282 | AZ |
National Provider Identifier
| NPI | 1093717647 |
|---|---|
| Provider Name | David Lee Dudgeon |
| First Address | Mesa, AZ 85202-4768 |
| Second Address | Mesa, AZ 85202-4768 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 566367 | (05) | AZ |
| AZ0885400 | BCBS (01) | AZ |
| B66970 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.