Mark A. Judd, Od PA
NPI #1497815278 in Great Bend, Kansas
Provider Information
- NPI Number
- 1497815278
- Entity Type
- Organization
- Organization Name
- Mark A. Judd, Od PA
- Primary Specialty
- Optometrist
- Enumeration Date
- Dec 11, 2006
- Last Updated
- Dec 4, 2007
Practice Location
- Address
- 1701 STATE ROAD 96
- City
- Great Bend
- State
- Kansas
- ZIP Code
- 67530-3014
- Phone
- (620) 792-8733
Authorized Official
- Name
- SUSAN H AISTRUP
- Title
- OFFICE MANAGER
- Phone
- (620) 792-8733
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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