Individual
LEWIS TODD DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5151 F ST, SACRAMENTO, CA 95819-3223
(916) 733-1925
(916) 733-1074
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(855) 771-0335
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
A94986
CA
2085R0202X
Diagnostic Radiology Physician
A94986
CA
Other
Enumeration date
07/07/2006
Last updated
07/10/2015
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