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NPI Code Detail

MEDICARE: CHRISTOPHER DUDEK DO

MEDICARE: CHRISTOPHER DUDEK DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1508754250
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER DUDEK DO
Provider Business Mailing Address
First Line : 1541 KINGS HWY
Second Line :
City : SHREVEPORT
State : LA
Zip : 71103-4228
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1501 KINGS HWY
Second Line :
City : SHREVEPORT
State : LA
Zip : 71103-4228
Country : US
Telephone Number : 318-626-2445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2025
Last Update Date : 03/13/2026

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Directions to “ CHRISTOPHER DUDEK DO” Practice Location

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