Individual provider · Type 1 NPI
Ellen K. Judd, P.A.
Medical Physician Assistant · Burley, ID
NPI number
1972560480
Active
Practice location
1308 Bennett Ave
Burley, ID 83318-2665
Fax (208) 678-7799
Mailing address
794 Eastland Dr
Twin Falls, ID 83301-6856
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA-98 (ID) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Burley
About NPI 1972560480
Ellen K. Judd, P.A.'s National Provider Identifier is 1972560480, issued on Apr 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Burley, ID. The record was last updated on Nov 26, 2012.