Individual
SCOTT MATTHEW DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2101 CORONA RD STE 102, COLUMBIA, MO 65203-2582
(573) 234-1800
Mailing address
6315 S ARROWHEAD LAKE DR, COLUMBIA, MO 65203-8028
(573) 268-3403
(573) 884-8526
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2006032135
MO
207Q00000X
Family Medicine Physician
Primary
2006032135
MO
Other
Enumeration date
09/06/2006
Last updated
11/20/2023
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