Lookup NPI Numbers from the NPI Registry
NPI Profile for JUDSON R MEAD in MERIDIAN, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant | |
Emergency Medical Technician, Basic |
146N00000X |
| NPI # | 1770213761 |
|
| Status | Active | |
| Credentials | PA (Physician Assistant) | |
| Entity | Individual | |
| Enumeration date | 06/14/2022 | |
| Last updated | 11/10/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JUDSON R MEAD
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JUDSON R MEAD, PA