Individual
STEVEN J JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1125 MADISON ST, JEFFERSON CTY, MO 65101-5227
(573) 632-5436
Mailing address
PO BOX 633819, CINCINNATI, OH 45263-0001
(865) 292-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31777
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000848449A
—
GA
05
—
000848449B
—
GA
05
—
009913050
—
AL
05
—
009941583
—
AL
05
—
203290838
—
MO
01
—
3126986
BLUE CROSS
TN
01
—
3126988
BLUE CROSS
TN
05
—
3845255
—
TN
05
—
3845256
—
TN
01
—
P00233188
RAILROAD MEDICARE
MO
01
—
P00269092
RAILROAD MEDICARE
TN
Enumeration date
06/08/2006
Last updated
11/20/2007
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