ACCREDITED UROLOGICAL ASSOCIATES - NPI 1629192455

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

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About Accredited Urological Associates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACCREDITED UROLOGICAL ASSOCIATES (NPI 1629192455) is a healthcare organization registered as a specialist in Las Vegas, Nevada and active in the NPI registry since March 2007. The organization lists John Joseph Dudek Jr, President, as its authorized official.

NPPES Registry Identity

NPI1629192455

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameJOHN J. DUDEK JR. M.D. PC

Location Address2020 GOLDRING AVE, 506Las Vegas, NV 89106-4060

Mailing Address2020 Goldring Ave, 506Las Vegas, NV 89106-4060 · (702) 382-7055 · Fax (702) 382-9935

Phone(702) 382-7055

Fax(702) 382-9935

Organization SubpartNo

Authorized OfficialJohn Joseph Dudek JrPresident · (702) 382-7055

Enumeration DateMarch 19, 2007

Last NPPES UpdateSeptember 3, 2010

✔ NPI 1629192455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NV · 3293

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2020 GOLDRING AVE, Las Vegas, NV 89106

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Other Names 1

Doing Business AsAccredited Urological Associates

Other Identifiers 1

Medicare UPINC95987NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP