DAVID LEE DUDGEON MD NPI 1093717647

NPI Information

NPI: 1093717647
Provider Name: DAVID LEE DUDGEON, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

Address:
1432 S DOBSON RD
SUITE 301
MESA, AZ
ZIP 85202
Phone: (480) 464-9400
Get Directions

David Lee Dudgeon, MD is a pediatric surgery surgery in Mesa, AZ. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. David Lee Dudgeon, MD NPI is 1093717647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1432 S DOBSON RD
SUITE 301
MESA, AZ
ZIP 85202-768
Phone: (480) 464-9400
Fax: (480) 464-9401

The enumeration date for this NPI number is 8/12/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery	29282	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AZ0885400	OTHER	ARIZONA	BCBS
2	566367	MEDICAID	ARIZONA
3	B66970	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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