Individual
DUDLEY G ELMORE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN,FNP
Contact information
Practice address
200 W ARBOR DRIVE, MC 8401, SAN DIEGO, CA 92103-8401
(619) 543-5870
(619) 543-7785
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18199
CA
Other
Enumeration date
05/29/2008
Last updated
10/16/2018
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