Individual
DR. DANIEL MARK JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
600 E HOBSONWAY, BLYTHE, CA 92225-1739
(760) 922-0284
Mailing address
600 E HOBSON WAY, BLYTHE, CA 92225-1739
(760) 922-0284
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7236T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0072360
—
CA
Enumeration date
10/03/2006
Last updated
01/15/2008
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