Individual
ROBERT D. PUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 WESTERN BLVD STE L2, #292, JACKSONVILLE, NC 28546-6755
(910) 378-0672
Mailing address
1250 WESTERN BLVD STE L2, #292, JACKSONVILLE, NC 28546-6755
(910) 378-0672
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101042811
VA
2084P0800X
Psychiatry Physician
168564
NY
2084P0800X
Psychiatry Physician
Primary
E4613
TX
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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