Individual
DR. JUDSON F MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17050 BAXTER ROAD, CHESTERFIELD SURGERY CENTER, LLC, SUITE 110, CHESTERFIELD, MO 63005
(636) 537-0122
(636) 537-0480
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 200-4243
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
103080
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206666117
—
MO
Enumeration date
06/16/2005
Last updated
10/27/2016
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