Provider Demographics
NPI:1912020348
Name:JUDGE, RHONDA MARIE (CSFA)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:MARIE
Last Name:JUDGE
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 S MILWAUKEE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-6216
Mailing Address - Country:US
Mailing Address - Phone:303-722-9808
Mailing Address - Fax:303-722-2101
Practice Address - Street 1:2601 S MILWAUKEE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-6216
Practice Address - Country:US
Practice Address - Phone:303-619-9625
Practice Address - Fax:303-722-2101
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001018246ZC0007X
CO82439246ZS0410X
COSA.0001018246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Technologist