Individual
DR. JULIA BERNADINE TREVINO-EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 E 10TH ST, OGALLALA, NE 69153-1425
(308) 284-8421
(308) 284-2821
Mailing address
900 LINCOLN AVE, GRANT, NE 69140-3095
(308) 352-7200
(308) 352-7290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31731
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01363894
—
CO
Enumeration date
07/07/2005
Last updated
02/06/2020
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