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NPI Code Detail

MEDICARE: JULIE ESTES M.S.

MEDICARE: JULIE ESTES M.S.
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
1174400000XSpecialistSP-322WY

General Provider Information

NPI Number : 1235679069
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE ESTES M.S.
Provider Business Mailing Address
First Line : 345 S LINDEN AVE
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-4709
Country : US
Telephone Number : 307-672-6610
Fax Number :
Provider Business Practice Location Address
First Line : 345 S LINDEN AVE
Second Line :
City : SHERIDAN
State : WY
Zip : 82801-4709
Country : US
Telephone Number : 307-672-6610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2017
Last Update Date : 03/10/2017

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Directions to “ JULIE ESTES M.S.” Practice Location

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