Individual provider · Type 1 NPI

John Kenneth Dudek, MD

Emergency Medical Services (Emergency Medicine) Physician · Boise, ID

NPI number 1235216706 Active

Practice location

500 W Fort St, Medical Services
Boise, ID 83702-4501

Call (208) 422-1325 Map

Fax (208) 422-1319

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X21562 (AZ)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1235216706

John Kenneth Dudek, MD's National Provider Identifier is 1235216706, issued on Nov 1, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.