# GARY D CUDDY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1609878826
- **Gender:** Man
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 633 | NE | Yes |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 02/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0123939 | MEDICA | NE |
| 01 | — | 37387 | NEBRASKA BCBS | NE |
| 01 | — | 3863 | MIDLANDS CHOICE | NE |
| 01 | — | 460423930 | HUMANA | NE |
| 05 | — | 46042393011 | — | NE |
| 01 | — | 7909019 | AETNA | NE |
| 01 | — | 9238079 | DAKOTA CARE | NE |