Timothy Dudley, D.C

NPI 1528147089 · on the registry since 2006 · sole proprietor

Practice

Address: 404 E Parkcenter Blvd
Suite 170
Boise, ID 83706
Phone: (208) 344-3610
Fax: (208) 344-4695
Organisation at this address: Elevate Eye Care Pllc
Convergence Chiropractic Company
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho