Individual
BERNARD O JUDY
Active
Individual
BERNARD O JUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-18615
KS
207R00000X
Internal Medicine Physician
Primary
35687
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200305490
—
KS
05
—
201260916
—
MO
Enumeration date
10/31/2005
Last updated
07/09/2018
Update your record
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