Individual
DUSTIN I JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 N ROBBINS RD, SUITE 100, BOISE, ID 83702-4565
(208) 383-0201
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25785
OK
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
M-12123
ID
Other
Enumeration date
06/23/2007
Last updated
03/20/2017
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