Individual provider · Type 1 NPI

Scott Andrew Dudley

Student in an Organized Health Care Education/Training Program · El Centro, CA

NPI number 1578604658 Active

Practice location

1295 W State St
El Centro, CA 92243-2845

Mailing address

1050 Wensley Ave
El Centro, CA 92243-3839

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1578604658

Scott Andrew Dudley's National Provider Identifier is 1578604658, issued on Feb 9, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in El Centro, CA. The record was last updated on Jul 8, 2007.