Individual
NANETTE C. DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
PO BOX 581100, SALT LAKE CITY, UT 84158-1100
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
187756-1205
UT
Other
Enumeration date
10/18/2006
Last updated
10/21/2021
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