| Doctor Name: | DR. DAVID MICHAEL MUDD |
| NPI Number: | 1134180409 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | M000853 |
| Business Practice Address: | 548 South Marine Corps Drive Tamuning, GU - 96913 |
| Business Phone Number: | 6716465824 |
| Business Fax Number: | 6716473546 |
| Mailing Address: | Po Box 6578, TAMUNING |
| State: | GU |
| Postal Code: | 969316578 |
| Phone Number: | 6716466956 |
| Fax Number: | 6716473546 |
| NPI Enumeration Date: | 03/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471C3402X |
| License Number: | M000853 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GU |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Radiography |
| Taxonomy Definition: | |