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General NPI Number Information
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NPI Number | 1083688659
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Entity Type | Individual
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Provider Name | JULIE M PERRY MD
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Gender | Female
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 999 ADAMS ST SUITE 200
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City | SAINT HELENA
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State | CA
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Zip | 94574-1148
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Country | US
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Telephone | 707-963-8898
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Fax | 707-963-1775
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Provider Business Mailing Address
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Address Line | 1612 S DORA ST
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City | UKIAH
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State | CA
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Zip | 95482-6519
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Country | US
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Telephone | 707-468-9030
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Fax | 707-468-4313
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G48035
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License Number State | CA
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