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Individual

JUSTIN R HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
350 W WILSON BRIDGE RD STE 200, WORTHINGTON, OH 43085-2591
(614) 895-8747
(614) 895-8810
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(513) 713-1779
(138) 549-9215

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
07000948A
IN
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003706
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0229556
OH
01
H536080
MEDICARE
OH
Enumeration date
09/20/2005
Last updated
11/08/2023
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