MEDICARE: DR. JULIE REIL MD

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	207Q00000X	Family Medicine Physician	8467	MT

General Provider Information

NPI Number	:	1386681872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE REIL MD

Provider Business Mailing Address
First Line	:	1655 SHILOH RD
Second Line	:	SUITE E
City	:	BILLINGS
State	:	MT
Zip	:	59106-1726
Country	:	US
Telephone Number	:	406-252-0022
Fax Number	:	406-245-1228

Provider Business Practice Location Address
First Line	:	1655 SHILOH RD
Second Line	:	SUITE E
City	:	BILLINGS
State	:	MT
Zip	:	59106-1726
Country	:	US
Telephone Number	:	406-252-0022
Fax Number	:	406-245-1228

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

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	11/15/2012

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