Individual
JOHN A DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1250 FOREST AVE, SUITE 301, PORTLAND, ME 04103-1889
(207) 797-5753
(207) 797-9571
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5164
AZ
390200000X
Student in an Organized Health Care Education/Training Program
5164
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
749101
—
AZ
Enumeration date
09/25/2012
Last updated
02/18/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us