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Individual

JEFFREY B JUDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1165
(314) 525-1485
Mailing address
11475 OLDE CABIN RD STE 200, SAINT LOUIS, MO 63141-7129
(314) 991-8200
(314) 991-8206

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101241011
VA
2085R0202X
Diagnostic Radiology Physician
036079642
IL
2085R0202X
Diagnostic Radiology Physician
0429845
KS
2085R0202X
Diagnostic Radiology Physician
21074
WV
2085R0202X
Diagnostic Radiology Physician
25729
KY
2085R0202X
Diagnostic Radiology Physician
37086
TN
2085R0202X
Diagnostic Radiology Physician
Primary
R1H83
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202637419
MO
05
Q047763
TN
Enumeration date
12/08/2005
Last updated
07/24/2025
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