Individual
JULIE L. WYNNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
999 N CURTIS RD STE 415, BOISE, ID 83706-1334
(208) 302-2600
(208) 302-2625
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
40815
AZ
208600000X
Surgery Physician
MD61046959
WA
2086S0102X
Surgical Critical Care Physician
40815
AZ
2086S0102X
Surgical Critical Care Physician
Primary
MC-2824
ID
2086S0102X
Surgical Critical Care Physician
MD61046959
WA
2086S0127X
Trauma Surgery Physician
40815
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
349220
—
AZ
Enumeration date
02/27/2006
Last updated
06/05/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us