MEDICARE: DR. JULIE ELIZABETH ORENDER 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	22471	AL

General Provider Information

NPI Number	:	1043386063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE ELIZABETH ORENDER M.D.

Provider Business Mailing Address
First Line	:	3817 COLLINE DR
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-3357
Country	:	US
Telephone Number	:	334-224-2813
Fax Number	:	334-356-0890

Provider Business Practice Location Address
First Line	:	3817 COLLINE DR
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-3357
Country	:	US
Telephone Number	:	334-224-2813
Fax Number	:	334-356-0890

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

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	04/01/2014

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