MEDICARE: JULIE WU M.D.

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	207R00000X	Internal Medicine Physician	11544	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	VWCHKL	OTHER	NV	GROUP MEDICARE

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588602957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE WU M.D.

Provider Business Mailing Address
First Line	:	3750 S. JONES BLVD.
Second Line	:	SUITE 120
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-2209
Country	:	US
Telephone Number	:	702-434-8880
Fax Number	:	702-862-8880

Provider Business Practice Location Address
First Line	:	3750 S JONES BLVD STE 120
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89103-2209
Country	:	US
Telephone Number	:	702-434-8880
Fax Number	:	702-862-8880

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

Provider Enumeration Date	:	06/04/2006
Last Update Date	:	03/11/2022

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Directions to “ JULIE WU M.D.” Practice Location

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