Individual
MR. JOHN JOSEPH DUDEK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2020 GOLDRING AVE, #506, LAS VEGAS, NV 89106-4060
(702) 382-7055
(702) 382-9935
Mailing address
2020 GOLDRING AVE, #506, LAS VEGAS, NV 89106-4060
(702) 382-7055
(702) 382-9935
Taxonomy
Speciality
Code
Description
License number
State
163WU0100X
Urology Registered Nurse
3293
NV
208800000X
Urology Physician
Primary
3293
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002008
—
NV
Enumeration date
04/27/2006
Last updated
07/07/2009
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