Dudley, Amy Elizabeth

Dudley, Amy Elizabeth is an individual health care provider with primary practice located at 623 S Main St Ste 1 , Moscow ID 83843-2983. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Dudley, Amy Elizabeth can be contacted via phone (208) 882-2011.

Contact Information

Primary practice address
623 S Main St Ste 1 Moscow ID 83843-2983
Phone: (208) 882-2011
Fax: (208) 883-1853
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-15297 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60926794 Washington
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD60926794 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1588028567
LBN Legal business name Dudley, Amy Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2016
Last updated Sep 12th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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