Individual
DR. CHARLES WAYNE JUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 ST MARYS HEALTH PLAZA, JEFFERSON CITY, MO 65101
(573) 761-7011
(573) 636-4819
Mailing address
901 S OLIVET RD, COLUMBIA, MO 65201-9670
(573) 256-4007
(573) 256-4777
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R3F57
MO
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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