Individual
NICHOLAS ERIC DUDENHOEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 WILFORD HALL LOOP, LACKLAND AFB, TX 78236
(210) 292-4277
Mailing address
1100 WILFORD HALL LOOP, LACKLAND AFB, TX 78236-5638
(210) 292-4277
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
01091808A
IN
Other
Enumeration date
07/03/2022
Last updated
12/19/2023
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