Individual
JULIE A CONYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16222 W US HIGHWAY 24 STE 210, WOODLAND PARK, CO 80863-8763
(719) 364-6487
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0030500
CO
208600000X
Surgery Physician
G89174
CA
208600000X
Surgery Physician
M8325
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G891740
—
CA
05
—
806114900
—
ID
Enumeration date
05/16/2006
Last updated
03/10/2021
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