| NPI | 1003280652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P JUDD Managing Member 314-596-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: MO 2011012595) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |