Individual
JUDDSON BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(616) 262-8856
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(616) 262-8856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006248
MI
Other
Enumeration date
12/14/2011
Last updated
11/08/2012
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