Individual
DR. RYAN THOMAS JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4500 FOREST PARK AVE, DEPT OTOLARYNGOLOGY, 5TH FL, SAINT LOUIS, MO 63108-2114
(314) 362-7509
(888) 452-4025
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7509
(888) 452-4025
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2025053214
MO
207Y00000X
Otolaryngology Physician
Primary
57.250610
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200176396
—
MO
01
—
57.250610
STATE MEDICAL BOARD OF OHIO
OH
Enumeration date
04/14/2021
Last updated
07/06/2026
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