Organization
MIDWEST UROGYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P JUDD M.D. (MANAGING MEMBER)
(314) 596-9955
Entity
Organization
Contact information
Practice address
2325 DOUGHERTY FERRY RD, SUITE 206, SAINT LOUIS, MO 63122-3356
(314) 596-9955
(314) 596-9530
Mailing address
2325 DOUGHERTY FERRY RD, SUITE 206, SAINT LOUIS, MO 63122-3356
(314) 596-9955
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
2011012595
MO
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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