Individual
MR. SHANE HENRY DUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
627 EASTLAND AVE SE STE 102, WARREN, OH 44484-4501
(330) 306-5030
Mailing address
627 EASTLAND AVE SE STE 102, WARREN, OH 44484-4501
(330) 306-5030
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.004537
OH
363AM0700X
Medical Physician Assistant
MA057965
PA
Other
Enumeration date
10/26/2015
Last updated
05/02/2025
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