Individual
DEBORAH HUDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1653 E MCMURRAY BLVD, STE 132, CASA GRANDE, AZ 85122-5934
(520) 876-0478
(520) 876-0484
Mailing address
1653 E MCMURRAY BLVD, STE 132, CASA GRANDE, AZ 85122-5934
(520) 876-0478
(520) 876-0484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3363
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-1815
MEDICARE
—
05
—
441246
—
AZ
01
—
ZFQ31815
MEDICARE
—
Enumeration date
05/23/2005
Last updated
02/15/2015
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