Individual
DR. DAVID JUDY
Active
Individual
DR. DAVID JUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2007-00740
NC
207N00000X
Dermatology Physician
2596
WV
207N00000X
Dermatology Physician
OS 11120
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2596
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619144433
HEALTHNET/TRICARE
WV
01
—
2707397
HIGHMARK BCBS
WV
05
—
3810023193
—
WV
01
—
5679351
CIGNA
WV
Enumeration date
05/12/2008
Last updated
10/20/2014
Update your record
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