Individual
DR. JORDAN JUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
(406) 363-2211
Mailing address
1200 WESTWOOD DR, HAMILTON, MT 59840-2345
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MED-PHYS-LIC-72356
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100055405
—
MT
05
—
1336598309
—
ID
Enumeration date
06/09/2016
Last updated
11/13/2024
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