Individual
ALEXANDER P. DUDETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PH.,D.
Contact information
Practice address
15710 NE 24TH STREET, SUITE C, BELLEVUE, WA 98008-2444
(425) 208-0026
(425) 644-3868
Mailing address
15710 NE 24TH STREET, STE C, BELLEVUE, WA 98008-2444
(425) 208-0026
(425) 644-3868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00045027
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199258
L&I
WA
05
—
8431082
—
WA
Enumeration date
07/25/2006
Last updated
12/22/2010
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