Individual
MRS. JULIE A HEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
36 W MAIN AVE, MYERSTOWN, PA 17067-1121
(717) 376-3075
(844) 252-3899
Mailing address
PO BOX 512, MYERSTOWN, PA 17067-0512
(717) 376-3075
(844) 252-3899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS014952
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025297500002
—
PA
Enumeration date
05/22/2008
Last updated
11/12/2020
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