Individual
DR. JULIA MICHELLE CAVALLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 524-4052
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 524-4052
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0055815
CO
207Q00000X
Family Medicine Physician
MD441511
PA
390200000X
Student in an Organized Health Care Education/Training Program
0101242875
VA
Other
Enumeration date
01/15/2008
Last updated
02/06/2024
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