Provider Demographics
NPI:1578690962
Name:DUDLEY, PAUL SHERMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:SHERMAN
Last Name:DUDLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 WESTLAKE AVE N
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-3050
Mailing Address - Country:US
Mailing Address - Phone:281-692-9213
Mailing Address - Fax:
Practice Address - Street 1:1505 WESTLAKE AVE N
Practice Address - Street 2:SUITE 400
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-3050
Practice Address - Country:US
Practice Address - Phone:206-301-5000
Practice Address - Fax:206-285-4555
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6868207VE0102X
WAMD00047747207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology