Healthcare Provider Details
I. General information
NPI: 1528051927
Provider Name (Legal Business Name): JULIA CLAUDIE TOGAMI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/31/2005
Last Update Date: 01/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1920 MALVERN AVE
HOT SPRINGS AR
71901-7752
US
IV. Provider business mailing address
1920 MALVERN AVE
HOT SPRINGS AR
71901-7752
US
V. Phone/Fax
- Phone: 501-321-1314
- Fax: 501-321-1810
- Phone: 501-321-1314
- Fax: 501-321-1810
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | E-3838 |
| License Number State | AR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: