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Individual

DR. THOMAS E JUDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1355 N UNIVERSITY AVE STE 110, PROVO, UT 84604-2721
(801) 374-5000
(801) 374-0077
Mailing address
1355 N UNIVERSITY AVE STE 110, PROVO, UT 84604-2721
(801) 374-5000
(801) 374-0077

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
156259-1205
UT

Other

Enumeration date
07/04/2006
Last updated
10/09/2008
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