DR. Julie Shibata Fall, M.D.

NPI #1306959267 in Gillette, Wyoming

Provider Information

NPI Number
1306959267
Entity Type
Individual
Name
DR. Julie Shibata Fall, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pediatrics - Adolescent Medicine
Credential
M.D.
Enumeration Date
Aug 16, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
1308 W 4TH ST
State
Wyoming
ZIP Code
82716-3330
Phone
(307) 687-1300

Specialties & Taxonomy Codes

Specialty
Pediatrics - Adolescent MedicineAdolescent Medicine

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