Individual
DR. TIMOTHY EUGENE DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8301 E PRENTICE AVE STE 125, GREENWOOD VILLAGE, CO 80111-2989
(303) 771-3939
Mailing address
8301 E PRENTICE AVE STE 125, GREENWOOD VILLAGE, CO 80111-2989
(303) 771-3939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25203
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01252030
—
CO
Enumeration date
12/01/2006
Last updated
03/17/2018
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