Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Daniel G Dudziak, RPAC

Individual provider Physician Assistant · NPI 1528040482

Mr. Daniel G Dudziak, RPAC is a Physician Assistant in Cottonwood, Arizona. Qualified in 1990, 36 years ago. Practices with Northern Arizona Healthcare Corporation, a 395-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
36
Licensed in
AZ
In the registry since
2005

Practice location Address checks out

340 S Willard St
Cottonwood, AZ 86326-4126
Phone: (992) 639-6025
Fax: (928) 634-1117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 474 N State Route 89, Chino Valley, AZ 86323-5993 — (928) 636-4355

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6391 (AZ)

Record details

NPI number1528040482
Entity typeIndividual (Type 1)
GenderMale
Credentials RPAC
Sole proprietorNo
NPI enumeratedNovember 16, 2005
Last updated in NPPESMay 14, 2020
Certification dateMay 14, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Northern Arizona Healthcare Corporation — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Cottonwood