Individual provider · Type 1 NPI

Elizabeth B. Judy-Fudge, PA

Medical Physician Assistant · Boise, ID

NPI number 1083123277 Active

Practice location

1072 N Liberty St Ste 100
Boise, ID 83704-8708

Fax (208) 302-1255

Mailing address

3340 E Goldstone Dr
Meridian, ID 83642-1026

Other practice locations

  • 2710 Harney St Ste 202, Laramie, WY 82072-2899 · (307) 742-3242

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-1680 (ID)
Medical Physician Assistant 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

16 other providers at this address

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About NPI 1083123277

Elizabeth B. Judy-Fudge, PA's National Provider Identifier is 1083123277, issued on Sep 20, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Aug 4, 2026.