Individual
AMY ELIZABETH DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
623 S MAIN ST STE 1, MOSCOW, ID 83843-2983
(208) 882-2011
(208) 883-1853
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 883-2224
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M-15297
ID
207Q00000X
Family Medicine Physician
Primary
MD60926794
WA
207V00000X
Obstetrics & Gynecology Physician
MD60926794
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2016
Last updated
09/12/2025
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