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Organization
JERRY JUDD PRYDE JR MD PC
Active
Organization
JERRY JUDD PRYDE JR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY JUDD PRYDE JR. M.D. (OWNER)
(310) 423-2182
Entity
Organization
Contact information
Practice address
8631 WEST 3RD STREET, 915E, LOS ANGELES, CA 90048-6101
(310) 423-2182
(310) 423-0154
Mailing address
8631 WEST 3RD STREET, SUITE 915E, LOS ANGELES, CA 90048-6101
(310) 423-2182
(310) 423-0154
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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