Individual
MR. GUILFORD M DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 MCLAIN STREET, NEWPORT, AR 72112
(870) 523-5272
(870) 523-4292
Mailing address
1200 MCLAIN STREET, NEWPORT, AR 72112
(870) 523-5272
(870) 523-4292
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R1908
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102855002
—
AR
01
—
112083126
RAILROAD MEDICARE
AR
01
—
4512788
AETNA
—
Enumeration date
05/26/2006
Last updated
02/24/2012
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