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NPI Code Detail

MEDICARE: JULIE WU, INC

MEDICARE: JULIE WU, INC
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
1261QP2300XPrimary Care Clinic/Center11544NV

Other Identifiers

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

General Provider Information

NPI Number : 1942400494
Entity Type Code : Organization
Provider Name (Legal Business Name) : JULIE WU, INC
Provider Business Mailing Address
First Line : 370 WHITLY BAY AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-2816
Country : US
Telephone Number : 702-419-3704
Fax Number : 702-862-8880
Provider Business Practice Location Address
First Line : 5380 S RAINBOW BLVD STE 320
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1880
Country : US
Telephone Number : 702-434-8880
Fax Number : 702-862-8880
Authorized Official
Title or Position : PRESIDENT
Name : DR. JULIE WU
Credential : M.D.
Telephone Number : 702-419-3704
Provider Enumeration Date : 07/23/2007
Last Update Date : 05/22/2008

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Directions to “JULIE WU, INC ” Practice Location

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