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Individual
JUDITH A MEAD
Active
Individual
JUDITH A MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2016027124
MO
207V00000X
Obstetrics & Gynecology Physician
20778
AZ
207V00000X
Obstetrics & Gynecology Physician
689
WI
207VM0101X
Maternal & Fetal Medicine Physician
Primary
20778
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116146
—
AZ
01
—
20778
AZ MEDICAL BOARD
AZ
Enumeration date
02/08/2006
Last updated
07/14/2023
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