Individual
SPENCER JUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 N WILMOT RD, TUCSON, AZ 85711-2602
(520) 873-3836
Mailing address
27 S SHADOW CREEK PL, TUCSON, AZ 85748-3270
(520) 869-8984
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN128111
AZ
363LF0000X
Family Nurse Practitioner
239907
AZ
Other
Enumeration date
02/10/2020
Last updated
06/23/2020
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