Julie Conyers MD INC

NPI #1730436007 in Mount Shasta, California

Provider Information

NPI Number: 1730436007
Entity Type: Organization
Organization Name: Julie Conyers MD INC
Primary Specialty: Surgery
Enumeration Date: Aug 6, 2012
Last Updated: Nov 5, 2012

Practice Location

Address: 635 LASSEN LN
City: Mount Shasta
State: California
ZIP Code: 96067-9003
Phone: (530) 926-5211

Authorized Official

Name: DR. JULIE A CONYERS, MD
Title: PRESIDENT
Phone: (530) 926-5211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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