Individual
JEFFREY TUDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8655 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 737-1880
(702) 737-5988
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 737-1880
(702) 737-5988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14097
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396906582
—
NV
Enumeration date
06/19/2008
Last updated
02/07/2012
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