Individual
DR. MICHAEL E. JUDD
Active
Individual
DR. MICHAEL E. JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101229858
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186464
ANTHEM PROVIDER NUMBER
—
01
—
203639329001
TRICARE PROVIDER NUMBER
—
01
—
2071942
CIGNA BEHAVIOR PROVIDER N
—
01
—
338612
VALUE OPTIONS PROVIDER NU
—
01
—
O84396
SENTARA/OPTIMA PROVIDER N
—
Enumeration date
07/28/2005
Last updated
03/12/2008
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