Organization
JULIE A FARRELL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A FARRELL MD (PRESIDENT)
(513) 378-6121
Entity
Organization
Contact information
Practice address
425 HOME ST, GEORGETOWN, OH 45121-1407
(513) 378-6121
Mailing address
PO BOX 182255, COLUMBUS, OH 43218-2255
(513) 852-2451
(614) 430-5742
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000015875
ANTHEM BC/BS
OH
05
—
0566927
—
OH
01
—
1680397
UNITED HEALTHCARE
OH
Enumeration date
08/17/2007
Last updated
11/15/2007
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