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Individual

DAVID A JUDISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
611 31ST AVE SW, PUYALLUP, WA 98373-3723
(253) 848-5951
(253) 845-7073
Mailing address
611 31ST AVE SW, PUYALLUP, WA 98373-3723
(253) 848-5951
(253) 845-7073

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD00030064
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1092394
WA
01
180253
LABOR & INDUSTRIES
WA
01
8012JU
REGENCE
WA
Enumeration date
05/16/2006
Last updated
07/21/2026
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