MEDICARE: DR. JULIE A MUCHE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	MD170730	OR
2	208100000X	Physical Medicine & Rehabilitation Physician	MD2004-0500	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033116298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE A MUCHE MD

Provider Business Mailing Address
First Line	:	800 BRADBURY DR SE STE 116
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-4310
Country	:	US
Telephone Number	:	505-272-1476
Fax Number	:	541-242-4227

Provider Business Practice Location Address
First Line	:	2211 LOMAS BLVD NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-2719
Country	:	US
Telephone Number	:	541-342-2134
Fax Number	:	541-242-4227

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2005
Last Update Date	:	09/26/2024

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Directions to “ DR. JULIE A MUCHE MD” Practice Location

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