Blonie Wayne Dudney JR. MD

NPI 1003019019 - Ophthalmology - 207W00000X

NPI Details
NPI 1003019019
Gender Male
Enumeration Date 06/07/2007
Last Updated 12/19/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1224 GRAHAM RD
3011
FLORISSANT MO, 63031-8028, US
Phone (314) 839-1211
Fax (314) 839-8429
Business Location
1224 GRAHAM RD
3011
FLORISSANT MO, 63031-8028, US
Phone (314) 839-1211
Fax (314) 839-8429
Toxanomy
Taxonomy Code 207W00000X
License State Missouri
License Number 2010014075
Remove 1003019019 NPI Number
 

According to our database, Blonie Wayne Dudney JR. MD NPI is 1003019019, taxonomy code is 207W00000X and license number is 2010014075, license state is located at Missouri. Blonie Wayne Dudney JR. MD physically located at 1224 Graham Rd, Florissant MO, 63031-8028. NPI Number Blonie Wayne Dudney JR. MD has the Individual type.

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1003019019 NPI number is provided on an as is basis without warranty of any kind. 1003019019 is maintained by the National Plan & Provider Enumeration System. The contents of Blonie Wayne Dudney JR. MD are for informational purposes only.