Provider Demographics
NPI:1386854925
Name:PIFER, JUDAH D (MD)
Entity Type:Individual
Prefix:
First Name:JUDAH
Middle Name:D
Last Name:PIFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3655 CROSSINGS DR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-7101
Mailing Address - Country:US
Mailing Address - Phone:928-778-9250
Mailing Address - Fax:928-778-9309
Practice Address - Street 1:3655 CROSSINGS DR
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-7101
Practice Address - Country:US
Practice Address - Phone:928-778-9250
Practice Address - Fax:928-778-9309
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2012-09-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ45914207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery