Individual
JULIE L BLOMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 E HIGH ST STE 201, CHARLOTTESVILLE, VA 22902-4850
(434) 654-2870
Mailing address
920 E HIGH ST STE 201, CHARLOTTESVILLE, VA 22902-4850
(434) 654-2870
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101041955
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006211569
—
VA
01
—
142728
SOUTHERN HEALTH
—
01
—
204545
ANTHEM SERVICES
—
01
—
267043
MAMSI
VA
01
—
48044
COMMUNITY HEALTH
VA
05
—
48044
—
VA
01
—
700215297
CIGNA
—
Enumeration date
01/13/2006
Last updated
06/11/2024
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