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Organization
VARNER E. DUDLEY, III, M.D., INC
Active
Organization
VARNER E. DUDLEY, III, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VARNER E. DUDLEY III M.D. (PRESIDENT)
(626) 584-1556
Entity
Organization
Contact information
Practice address
1509 WILSON TER, GLENDALE, CA 91206-4007
(818) 409-8000
(818) 546-5632
Mailing address
225 S LAKE AVE, SUITE 535, PASADENA, CA 91101-3005
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G55075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G550750
BLUE SHIELD
CA
05
—
00G550750
—
CA
Enumeration date
01/10/2007
Last updated
02/19/2008
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