Individual
JULIA MAXIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
46638
CO
2084P0800X
Psychiatry Physician
Primary
46638
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28739744
—
CO
Enumeration date
01/26/2007
Last updated
09/08/2014
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