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Individual

ALEXA CASSIDY DUDDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2415 MUSGROVE RD STE 105, SILVER SPRING, MD 20904-5224
(301) 989-0193
(301) 879-2325
Mailing address
2415 MUSGROVE RD STE 105, SILVER SPRING, MD 20904-5224
(301) 989-0193
(301) 879-2323

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0009223
MD
363AM0700X
Medical Physician Assistant
0110009432
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/19/2023
Last updated
03/12/2026
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