Individual
JULIA SICILIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
436 5TH &TED STEVENS WAY, KOTZEBUE, AK 99752-4372
(907) 442-7202
(907) 442-7312
Mailing address
436 TED STEVENS WAY, KOTZEBUE, AK 99752-6276
(907) 442-7202
(907) 442-7312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5532
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HS190P
—
AK
05
—
HS191P
—
AK
05
—
MD66291
—
AK
01
—
P00291754
RAILROAD MEDICARE PIN #
AK
Enumeration date
09/22/2006
Last updated
07/22/2011
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