JUDDSON BALDWIN

FORT DEFIANCE, AZ
NPI1700155124
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601006248)
Enumeration Date2011-12-14
Last Update Date2012-11-08
Business Address
-- JUDDSON BALDWIN PA-C
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone number: 616-262-8856
Mailing Address
-- JUDDSON BALDWIN PA-C
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number: 616-262-8856
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