Individual
DR. MICHAEL A JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 W 7TH AVE, STE 110, SPOKANE, WA 99204-2349
(509) 456-0262
(509) 462-5059
Mailing address
122 W 7TH AVE, STE 110, SPOKANE, WA 99204-2349
(509) 456-0262
(509) 462-5059
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD00011286
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1112903
—
WA
01
—
G8870907
MEDICARE PTAN
WA
01
—
G8877883
MEDICARE PTAN
WA
Enumeration date
07/13/2005
Last updated
01/12/2012
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