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Individual
JULIE S WEBSTER
Active
Individual
JULIE S WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
MD19260
SC
2085B0100X
Body Imaging Physician
Primary
ME19260
SC
2085N0904X
Nuclear Radiology Physician
ME19260
SC
2085P0229X
Pediatric Radiology Physician
ME19260
SC
2085R0202X
Diagnostic Radiology Physician
ME19260
SC
2085R0204X
Vascular & Interventional Radiology Physician
ME19260
SC
2085U0001X
Diagnostic Ultrasound Physician
ME19260
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192605
—
SC
01
—
2001
MEDICARE GROUP
SC
05
—
7906117
—
NC
Enumeration date
07/27/2006
Last updated
05/28/2019
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