Individual
DAVID A JUDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8012 112TH STREET CT E, SUITE 120, PUYALLUP, WA 98373-7856
(253) 286-2711
(253) 286-2719
Mailing address
8012 112TH STREET CT E, SUITE 120, PUYALLUP, WA 98373-7856
(253) 286-2711
(253) 286-2719
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
11/26/2008
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