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Individual

DR. SAMUEL WASHINGTON DUDLEY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205-2664
(614) 722-4554
(614) 722-4565
Mailing address
700 CHILDREN'S DRIVE, COLUMBUS, OH 43205-2664
(614) 722-2000
(614) 355-4497

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35079310
OH
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
35079310
OH
208M00000X
Hospitalist Physician
35079310
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0116931
OH
Enumeration date
06/26/2005
Last updated
05/19/2025
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