Dr. Julie Shibata Fall
M.D. | Pediatric Adolescent Medicine | Female
Dr. Julie Shibata Fall, M.D. is a Gillette, Wyoming based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Julie Shibata Fall is
1308 W 4th St, Gillette, Wyoming - 82716-3330. She can be contacted on phone at
307-687-1300 and fax number 307-682-1309.
Dr. Julie Shibata Fall is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Julie Shibata Fall is
1306959267 which was assigned by NPPES on 16 Aug, 2006 and it was last updated on 09 Jul, 2007.
Dr. Julie Shibata Fall license number is
3686A for Pediatrics Adolescent Medicine (2080A0000X) in Wyoming.
Dr. Julie Shibata Fall specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Julie Shibata Fall basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Julie Shibata Fall |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Julie Shibata Fall address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1308 W 4th St
Gillette, WY, 82716-3330
United States |
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| Phone Number : | 307-687-1300 |
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| Fax Number : | 307-682-1309 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1306959267 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Aug, 2006 |
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| Last Updated On : | 09 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Julie Shibata Fall are as mentioned. Primary taxonomy code for Dr. Julie Shibata Fall, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 3686A | WY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Julie Shibata Fall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 302313 | Other | WY | BCBS PROVIDER NUMBER |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1308 W 4th St
Gillette, WY, 82716-3330
United States |
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| Phone Number : | 307-687-1300 |
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| Fax Number : | 307-682-1309 |
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Business Location:
Patients can refer following map for directions to
Dr. Julie Shibata Fall practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.