AMY ELIZABETH DUDLEY

MOSCOW, ID
NPI1588028567
Former NameAMY ELIZABETH O'NEIL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD60926794)
Additional Taxonomies207Q00000X Family Medicine
(Licence: ID  M-15297)
207V00000X Obstetrics & Gynecology
(Licence: WA  MD60926794)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-06
Last Update Date2020-09-17
Business Address
AMY ELIZABETH DUDLEY
623 S MAIN ST STE 100
MOSCOW, ID 83843-2983
Phone number: 208-882-2011
Mailing Address
AMY ELIZABETH DUDLEY
623 S MAIN ST STE 100
MOSCOW, ID 83843-2983
Phone number: