Individual
DR. JULIA M ZEVALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 US HIGHWAY 61, SUITE 150, FESTUS, MO 63028-4100
(636) 931-6090
(636) 933-9509
Mailing address
1400 US HIGHWAY 61, SUITE 150, FESTUS, MO 63028-4100
(636) 931-6090
(636) 933-9509
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
200160887
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208320002
—
MO
01
—
P00400998
RAILROAD MEDICARE PIN
MO
Enumeration date
10/03/2006
Last updated
03/23/2012
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