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Individual

DR. RICHARD PAUL HUDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2309 TUCKER TERRACE, PITTSBURG, KS 66762
(620) 231-4010
(620) 231-4010
Mailing address
2309 TUCKER TERRACE, PITTSBURG, KS 66762
(620) 231-4010
(620) 231-4010

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
12-00132
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000006706
BLUE CROSS BLUE SHIELD
KS
01
0306350001
DMERC
KS
Enumeration date
10/03/2006
Last updated
10/14/2010
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