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Individual

MATTHEW JUDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 322-1730
(208) 322-1731
Mailing address
2963 E COPPER POINT DR, SUITE 150, MERIDIAN, ID 83642-9055
(208) 322-1730
(208) 322-1731

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
AT2887175
DE
207P00000X
Emergency Medicine Physician
Primary
O-0980
ID
207R00000X
Internal Medicine Physician
AT2887175
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003934100
ID
Enumeration date
03/27/2007
Last updated
09/25/2015
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