person
Ellen K Judd, PA
Medical Physician Assistant in Burley, Idaho
NPI 1972560480

Ellen K Judd is a Medical Physician Assistant based in Twin Falls, ID and is specialized in Medical. Ellen K Judd practices in Burley, ID and has the professional credentials of PA. The NPI Number for Ellen K Judd is 1972560480 and holds a License No. PA-98 (Idaho).

The current practice location address for Ellen K Judd is 1308 Bennett Ave, Burley, ID and can be reached out via phone at 208-678-7796 and via fax at 208-678-7799.

Location: 1308 Bennett Ave, Burley, ID, 83301-6856
person
Provider Profile Details
NPI Number
1972560480
Provider Name
Ellen K Judd
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1308 Bennett Ave, Burley, ID, 83301-6856
Phone Number
208-678-7796
Fax Number
208-678-7799
Provider Enumeration Date
04/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1308 Bennett Ave
City
State
Zip
83318-2665
Phone Number
208-678-7796
Fax Number
208-678-7799
person
Provider Business Mailing Address Details
Address
1308 Bennett Ave
City
State
Zip
83318-2665
Phone Number
208-678-7796
Fax Number
208-678-7799
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-98 (Idaho)
Definition
Definition to come...
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