Individual
ELLEN K JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1308 BENNETT AVE, BURLEY, ID 83318-2665
(208) 678-7796
(208) 678-7799
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-3313
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-98
ID
Other
Enumeration date
04/27/2006
Last updated
11/26/2012
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