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Individual
JEFFREY N GUDGER
Active
Individual
JEFFREY N GUDGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL27064
SC
208M00000X
Hospitalist Physician
Primary
27064
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316155112
GROUP NPI
SC
05
—
270646
—
SC
01
—
P01476309
RAILROAD MEDICARE
SC
Enumeration date
07/25/2006
Last updated
09/26/2016
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