Individual
PAUL EDWARD DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1614 DIAMOND STREET PL, ONAWA, IA 51040-1554
(712) 423-1525
(712) 423-2528
Mailing address
1614 DIAMOND STREET PL, ONAWA, IA 51040-1554
(712) 423-1525
(712) 423-2528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29427
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100842
—
IA
01
—
080057253
RAILROAD MEDICARE
IA
01
—
12602
BLUE SHIELD OF IOWA
IA
Enumeration date
06/22/2005
Last updated
10/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us