# GUILFORD M. DUDLEY, M.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255457842
- **Authorized official:** GUILFORD M DUDLEY M.D. (PRESIDENT)
- **Authorized official phone:** (870) 512-2522

## Contact information

- **Practice address:** 2200 MALCOLM AVE, SUITE B, NEWPORT, AR 72112-3668
- **Practice address phone:** (870) 512-2522
- **Practice address fax:** (870) 512-2525
- **Mailing address:** 2200 MALCOLM AVE, SUITE B, NEWPORT, AR 72112-3668
- **Mailing address phone:** (870) 512-2522
- **Mailing address fax:** (870) 512-2525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | R1908 | AR | Yes |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 08/22/2020