Individual
DR. JOHN A DUDASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
120 MAIN STREET, NEW EAGLE, PA 15067
(724) 258-3773
(724) 258-4805
Mailing address
120 MAIN STREET PO BOX 430, NEW EAGLE, PA 15067
(724) 258-3773
(724) 258-4805
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0E004668P
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01746334
—
PA
Enumeration date
10/11/2006
Last updated
07/08/2007
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