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Search › Idaho › 122300000X

Bryant Dudzik, DDS

NPI 1811413669 · on the registry since 2017 · sole proprietor

Practice

Address
465 Memorial Dr
Pocatello, ID 83201
Phone
(208) 282-6000
Organisation at this address
Health West
Phs Md #1, Llc
Health West, Inc.
Isu Family Medicine
Idaho State University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
122

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-08-14

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