Hudspeth, Dudley A

Hudspeth, Dudley A is an sole proprietor health care provider with primary practice located at 485 S Dobson Rd Ste 111, Chandler AZ 85224-5600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Hudspeth, Dudley A can be contacted via phone (480) 407-4999.

Contact Information

Primary practice address
485 S Dobson Rd Ste 111 Chandler AZ 85224-5600
Phone: (480) 407-4999
Fax: (480) 407-4998
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 32737 North Carolina
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 23299 Arizona

Profile Details

NPI number 1205835493
LBN Legal business name Hudspeth, Dudley A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Jan 16th, 2017 - about 9 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1205835493 NPPES
North Carolina MEDICAID 5915635
North Carolina MEDICAID 320060
North Carolina Other Z76591

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