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NPI Code Detail

MEDICARE: DAWN M MUDGE M.D

MEDICARE: DAWN M MUDGE M.D
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
1207R00000XInternal Medicine PhysicianG76261CA

General Provider Information

NPI Number : 1437156650
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN M MUDGE M.D
Provider Business Mailing Address
First Line : 100 WILSON RD STE 100
Second Line :
City : MONTEREY
State : CA
Zip : 93940-7885
Country : US
Telephone Number : 831-649-1000
Fax Number :
Provider Business Practice Location Address
First Line : 355 ABBOTT ST STE 100
Second Line :
City : SALINAS
State : CA
Zip : 93901-4484
Country : US
Telephone Number : 831-751-7070
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 03/03/2026

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