Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | L6868 | TX |
Y | 207VE0102X | Reproductive Endocrinologist | MD00047747 | WA |
NPI | 1578690962 |
---|---|
Provider Name | Dr. Paul Sherman Dudley |
First Address | Seattle, WA 98109-3050 |
Second Address | Seattle, WA 98109-3050 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 16/07/2007 |