Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 40705 | AZ |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | A95533 | CA |
NPI | 1477681567 |
---|---|
Provider Name | Judson W Karlen |
First Address | Phoenix, AZ 85016-7710 |
Second Address | Phoenix, AZ 85016-7710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 22/01/2013 |