Search › Idaho › 207Q00000X
Amy Dudley
NPI 1588028567 · on the registry since 2016
Practice
- Address
- 623 S Main St Ste 1
Moscow, ID 83843 - Phone
- (208) 882-2011
- Fax
- (208) 883-1853
- Organisation at this address
- Gritman Medical Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 24
Additional practice sites
- 700 S Main St, Moscow, ID
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207V00000X
390200000X - Licence states on file
- ID, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho