Doctor Name: | JUDD MESSENGER |
NPI Number: | 1134528961 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 28362 Laura La Plante Dr Agoura Hills, CA - 913012450 |
Business Phone Number: | 8058705066 |
Business Fax Number: | |
Mailing Address: | 323 S 1170 W, SPANISH FORK |
State: | UT |
Postal Code: | 846605708 |
Phone Number: | 8018369001 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2014 |
NPI Last Update Date: | 08/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171WH0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | Home Modifications |
Taxonomy Definition: |