Individual
DAVID ELLIOTT MUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
50 E DUNLAP, STE 105, PHOENIX, AZ 85020
(602) 944-4626
(602) 944-2805
Mailing address
50 E. DUNLAP, STE 105, PHOENIX, AZ 85020
(602) 944-4626
(602) 944-2805
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3207
AZ
Other
Enumeration date
08/30/2010
Last updated
10/05/2011
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