Provider Demographics
NPI:1225382427
Name:VOELZ, JUDI RAE (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDI
Middle Name:RAE
Last Name:VOELZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:MSC 3529 NEW MEXICO STATE UNIVERSITY
Mailing Address - Street 2:P.O. BOX 30001
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88003-6429
Mailing Address - Country:US
Mailing Address - Phone:575-646-1512
Mailing Address - Fax:575-646-6429
Practice Address - Street 1:MSC 3529
Practice Address - Street 2:NEW MEXICO STATE UNIVERSITY
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88003-8001
Practice Address - Country:US
Practice Address - Phone:575-646-1512
Practice Address - Fax:575-646-6429
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM93-174207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine