Guilford M. Dudley, M.d., P.a. | |
2200 Malcolm Ave Suite B Newport AR 72112-3668 | |
(870) 512-2522 | |
(870) 512-2525 |
Full Name | Guilford M. Dudley, M.d., P.a. |
---|---|
Speciality | Internal Medicine - Adolescent Medicine |
Location | 2200 Malcolm Ave, Newport, Arkansas |
Authorized Official Name and Position | Guilford M Dudley (PRESIDENT) |
Authorized Official Contact | 8705122522 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Guilford M. Dudley, M.d., P.a. 2200 Malcolm Ave Suite B Newport AR 72112-3668 Ph: (870) 512-2522 | Guilford M. Dudley, M.d., P.a. 2200 Malcolm Ave Suite B Newport AR 72112-3668 Ph: (870) 512-2522 |
NPI Number | 1255457842 |
---|---|
Provider Enumeration Date | 03/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255457842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RA0000X | Internal Medicine - Adolescent Medicine | R1908 (Arkansas) | Primary |
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