Individual
DR. JUDY L. CHAMPAIGN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6297 N FRESNO ST, FRESNO, CA 93710-5209
(559) 325-5876
Mailing address
1867 E FIR AVE STE 104, FRESNO, CA 93720-3841
(559) 325-5800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G57762
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G57762
LICENSE
CA
Enumeration date
10/03/2006
Last updated
07/25/2008
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