Russell L Judd in Indianapolis - Specialist

Russell L Judd - NPI 1871574806

Russell L Judd is a Specialist in Indianapolis, Indiana. Russell L Judd practices all healthcare services and medical treatments related to Specialist. The NPI Number for Russell L Judd is 1871574806. The last update date is 2007-07-09.

Russell L Judd's current location address is 5317 E 16th St, Indianapolis, Indiana. You can contact this provider via phone number 3173228384 and fax number 3173579070. The mailing address for Russell L Judd is 5317 E 16th St, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell L Judd
Address 5317 E 16th St, Indianapolis, Indiana
Phone Number 3173228384
Fax Number 3173579070
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1871574806
Provider Enumeration Date 2005-11-08
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 5317 E 16th St
City Indianapolis
State Indiana (IN)
Post Code 462184897
Phone Number 3173228384
Fax Number 3173579070

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 1018058
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Russell L Judd

What is the unique identification code assigned to Russell L Judd by the Centers for Medicare & Medicaid Services?

The Russell L Judd has been issued the NPI (National Provider Identifier) 1871574806. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Russell L Judd is physically located?

The Russell L Judd is physically situated at the following address: 5317 E 16Th St, Indianapolis, IN, 462184897.

What is Russell L Judd's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Russell L Judd is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1871574806 to Russell L Judd?

The Centers for Medicare & Medicaid Services originally issued the 1871574806 to Russell L Judd on 2005-11-08.

When was the information regarding Russell L Judd, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Russell L Judd, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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