Mark Dudley (NPI# 1689784019, PAC ID# 5294629812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1689784019 |
| PAC ID by PECOS | 5294629812 |
| Professional Enrollment ID | I20040407000493 |
| Full Name | Mark Dudley |
| Address |
2505 E 3300 Suite 201 Salt Lake City UT 84109-2764 |
| Gender | M |
| Credential | DC |
| Graduation Year | 1995 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2505 E 3300, Suite 201, Salt Lake City, UT 84109-2764 |
| Street Address |
2505 E 3300 SUITE 201 |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84109-2764 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jan R Magdalen | Clinical Social Worker | 2071 E Ashton Cir, Salt Lake City, UT 84109-1103 | |
| Sara A Wells | Family Medicine | 2131 E 2100, Salt Lake City, UT 84109-1128 | |
| Matthew T Holmes | Chiropractic | 2645 E Parleys Way, Salt Lake City, UT 84109-1636 | |
| Mark R Moeller | Physical Therapy | Alpine Sports Medicine LLC | 2645 E Parleys Way, Salt Lake City, UT 84109-1636 |
| Ann C Rauscher | Physical Therapy | Alpine Sports Medicine LLC | 2645 E Parleys Way, Salt Lake City, UT 84109-1636 |
| Diane B Young | Nurse Practitioner | 3018 E 3300, Salt Lake City, UT 84109-2144 | |
| Kent C Kravitz | Clinical Social Worker | 3090 E 3300 S, 2b, Salt Lake City, UT 84109-2161 | |
| Stephen B Morris | Psychologist, Clinical | 3167 E Louise Ave, Salt Lake City, UT 84109-2224 | |
| Ryan C Hemming | Occupational Therapy | Western Summit Rehabilitation LLC | 3257 E 3300, Salt Lake City, UT 84109-2246 |
| James I Grant | Chiropractic | 2189 E 3300, Salt Lake City, UT 84109-2666 | |
| Find all physicians in zip 84109 | |||
| City | SALT LAKE CITY |
| Zip Code | 84109 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SALT LAKE CITY + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.