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Individual

ELLEN FRANCES DUDREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1801 NORTH OREGON STREET, DEPARTMENT OF PATHOLOGY, EL PASO, TX 79902-3591
(915) 521-1341
(915) 521-1494
Mailing address
PO BOX 740968, DALLAS, TX 75374-0968
(915) 521-1341
(915) 521-1494

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
G3309
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G3309
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
F5588
NM
Enumeration date
03/29/2006
Last updated
12/17/2007
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