Individual
DR. DAVID JOHANN PUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1790 W PARK AVE STE 200, REDLANDS, CA 92373-3116
(909) 334-2608
(909) 255-9752
Mailing address
1790 W PARK AVE STE 200, REDLANDS, CA 92373-3116
(909) 334-2608
(909) 255-9752
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A120199
CA
2084P0800X
Psychiatry Physician
AC2822890-K10-018
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68795
AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY
CA
01
—
A120199
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
06/03/2010
Last updated
03/07/2023
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