Individual
MORTON D DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1229 MADISON ST, SUITE 900, SEATTLE, WA 98104-3586
(206) 292-6233
(206) 292-7764
Mailing address
5225 82ND AVE SE, MERCER ISLAND, WA 98040-4613
(206) 236-2621
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD00021531
WA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD00021531
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004589
—
WA
Enumeration date
06/14/2006
Last updated
10/05/2012
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