Individual
DR. RANDALL B HUDSON
Active
Individual
DR. RANDALL B HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R7H25
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000332
MO FHP PROVIDER NUMBER
MO
05
—
100119200C
—
MO
01
—
14018080
MO BCBS PROVIDER NUMBER
MO
01
—
2010016523
MO LICENSE
MO
05
—
202582664
—
MO
Enumeration date
05/17/2006
Last updated
01/20/2014
Update your record
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