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Dr. Julie Shibata Fall, MD
Pediatric Adolescent Medicine Physician in Gillette, Wyoming
NPI 1306959267

Julie Shibata Fall is a Pediatric Adolescent Medicine Physician based in Gillette, WY and is specialized in Adolescent Medicine. Julie Shibata Fall practices in Gillette, WY and has the professional credentials of MD. The NPI Number for Julie Shibata Fall is 1306959267 and holds a License No. 3686A (Wyoming).

The current practice location address for Julie Shibata Fall is 1308 W 4Th St, Gillette, WY and can be reached out via phone at 307-687-1300 and via fax at 307-682-1309.

Location: 1308 W 4Th St, Gillette, WY, 82716-3330
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Provider Profile Details
NPI Number
1306959267
Provider Name
Julie Shibata Fall
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1308 W 4Th St, Gillette, WY, 82716-3330
Phone Number
307-687-1300
Fax Number
307-682-1309
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
302313 01 WY BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1308 W 4Th St
City
State
Zip
82716-3330
Phone Number
307-687-1300
Fax Number
307-682-1309
person
Provider Business Mailing Address Details
Address
1308 W 4Th St
City
State
Zip
82716-3330
Phone Number
307-687-1300
Fax Number
307-682-1309
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
License No.
3686A (Wyoming)
Definition
A pediatrician who 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.
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