Organization
MIDWEST UROGYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATRICK JUDD M.D. (UROGYNECOLOGIST)
(314) 562-1812
Entity
Organization
Contact information
Practice address
12 CARTER CT, OLIVETTE, MO 63132-2002
(314) 562-1812
Mailing address
12 CARTER CT, OLIVETTE, MO 63132-2002
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
2011012595
MO
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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