Provider Demographics
NPI:1902868094
Name:HALPE, DUDLEY CLEMENT (MD)
Entity Type:Individual
Prefix:DR
First Name:DUDLEY
Middle Name:CLEMENT
Last Name:HALPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 E. CAMBRIDGE AVE.
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006
Mailing Address - Country:US
Mailing Address - Phone:602-253-6000
Mailing Address - Fax:602-462-5933
Practice Address - Street 1:1920 E. CAMBRIDGE AVE.
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006
Practice Address - Country:US
Practice Address - Phone:602-253-6000
Practice Address - Fax:602-462-5933
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ89582080P0202X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology