Individual
JUDD H CHIDLOW
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1455 E BERT KOUNS LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4569
(318) 798-4423
Mailing address
1455 E BERT KOUNS LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4569
(318) 798-4423
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
010233
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1126594
—
LA
Enumeration date
06/08/2005
Last updated
07/08/2007
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