Individual
MR. DANIEL G DUDZIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPAC
Contact information
Practice address
340 S WILLARD ST, COTTONWOOD, AZ 86326-4126
(992) 639-6025
(928) 634-1117
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6391
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222212
—
AZ
Enumeration date
11/16/2005
Last updated
05/14/2020
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