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Dr. Philip S Dudak, DC,FNP-C
Family Nurse Practitioner in Saint Louis, Missouri
NPI 1720067051

Philip S Dudak is a Family Nurse Practitioner based in Saint Louis, MO and is specialized in Family. Philip S Dudak practices in Saint Louis, MO and has the professional credentials of DC,FNP-C. The NPI Number for Philip S Dudak is 1720067051 and holds a License No. 005778 (Missouri).

The current practice location address for Philip S Dudak is 11133 Dunn Rd, Saint Louis, MO and can be reached out via phone at 314-653-5228.

Location: 11133 Dunn Rd, Saint Louis, MO, 63136-6132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720067051
Provider Name
Philip S Dudak
Credential
DC,FNP-C
Provider Entity Type
Individual
Gender
Male
Address
11133 Dunn Rd, Saint Louis, MO, 63136-6132
Phone Number
314-653-5228
Fax Number
Provider Enumeration Date
01/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
118828 01 IL BCBS
4400267 01 UHC
institution
Provider Business Practice Location Address Details
Address
11133 Dunn Rd
City
Saint Louis
State
Missouri
Zip
63136-6163
Phone Number
314-653-5228
Fax Number
person
Provider Business Mailing Address Details
Address
11133 Dunn Rd
City
Saint Louis
State
Missouri
Zip
63136-6163
Phone Number
314-653-5228
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038006559 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
2013003629 (Missouri)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
005778 (Missouri)
Definition
Definition to come...
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