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Judson Robert Mead, PA
Surgical Physician Assistant in Meridian, Idaho
NPI 1770213761

Judson Robert Mead is a Surgical Physician Assistant based in Boise, ID and is specialized in Surgical. Judson Robert Mead practices in Meridian, ID and has the professional credentials of PA. The NPI Number for Judson Robert Mead is 1770213761 and holds a License No. ES60317745 (Idaho).

The current practice location address for Judson Robert Mead is 520 S Eagle Rd, Meridian, ID and can be reached out via phone at 208-381-6930 and via fax at 208-381-6931.

Location: 520 S Eagle Rd, Meridian, ID, 83712-6241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770213761
Provider Name
Judson Robert Mead
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
520 S Eagle Rd, Meridian, ID, 83712-6241
Phone Number
208-381-6930
Fax Number
208-381-6931
Provider Enumeration Date
06/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
520 S Eagle Rd
City
Meridian
State
Idaho
Zip
83642-6351
Phone Number
208-381-6930
Fax Number
208-381-6931
person
Provider Business Mailing Address Details
Address
520 S Eagle Rd
City
Meridian
State
Idaho
Zip
83642-6351
Phone Number
208-381-6930
Fax Number
208-381-6931
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
()
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
ES60317745 (Washington)
Definition
Definition to come...
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