Individual
JULIE M PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
999 ADAMS ST, SUITE 200, SAINT HELENA, CA 94574-1148
(707) 963-8898
(707) 963-1775
Mailing address
1612 S DORA ST, UKIAH, CA 95482-6519
(707) 468-9030
(707) 468-4313
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G48035
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G480350
BLUE SHIELD
CA
05
—
00G480351
—
CA
01
—
4700110001
MEDICARE DMERC
CA
Enumeration date
02/13/2006
Last updated
11/14/2007
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