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NPI Code Detail

MEDICARE: JULIA ANN SELID M.ED

MEDICARE: JULIA ANN SELID M.ED
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1548417371
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA ANN SELID M.ED
Provider Business Mailing Address
First Line : 1825 MARIKA RD
Second Line :
City : FAIRBANKS
State : AK
Zip : 99709-5521
Country : US
Telephone Number : 907-374-2738
Fax Number :
Provider Business Practice Location Address
First Line : 1825 MARIKA RD
Second Line :
City : FAIRBANKS
State : AK
Zip : 99709-5521
Country : US
Telephone Number : 907-374-2738
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2008
Last Update Date : 08/22/2008

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Directions to “ JULIA ANN SELID M.ED” Practice Location

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