Healthcare Provider Details

I. General information

NPI: 1083740070
Provider Name (Legal Business Name): JULIE D ASCH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

E8 LDS HOSPITAL 8TH AVENUE AND C STREET
SALT LAKE CITY UT
84143-0001
US

IV. Provider business mailing address

7381 BUCKBOARD DR
PARK CITY UT
84098-5310
US

V. Phone/Fax

Practice location:
  • Phone: 801-408-3729
  • Fax: 801-408-8453
Mailing address:
  • Phone: 435-658-0336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number4991679-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: