MEDICARE: JULIE ANN FOX 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	207P00000X	Emergency Medicine Physician	184778-1205	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659380624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ANN FOX MD

Provider Business Mailing Address
First Line	:	PO BOX 95970
Second Line	:
City	:	SOUTH JORDAN
State	:	UT
Zip	:	84095-0970
Country	:	US
Telephone Number	:	801-352-9500
Fax Number	:	801-352-9502

Provider Business Practice Location Address
First Line	:	1200 E 3900 S
Second Line	:
City	:	SLC
State	:	UT
Zip	:	84124-1300
Country	:	US
Telephone Number	:	801-268-7975
Fax Number	:	801-270-3324

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

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	10/19/2007

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Directions to “ JULIE ANN FOX MD” Practice Location

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