Individual
CUYLA C DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
2 EMBARCADERO CTR LBBY, SAN FRANCISCO, CA 94111-3823
(888) 663-6331
(415) 252-7176
Mailing address
1 EMBARCADERO CTR, SAN FRANCISCO, CA 94111-3628
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
OR
363A00000X
Physician Assistant
Primary
53916
CA
363AM0700X
Medical Physician Assistant
PA153046
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500643488
—
OR
Enumeration date
02/13/2006
Last updated
03/17/2025
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