Individual
MS. JULIA KATHERINE DUNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, BC-ANP
Contact information
Practice address
216 S KINGSHIGHWAY BLVD, MAILSTOP: 90-00-049, SAINT LOUIS, MO 63110-1026
(314) 454-7428
(314) 454-5268
Mailing address
216 S KINGSHIGHWAY BLVD, MAILSTOP: 90-00-049, SAINT LOUIS, MO 63110-1026
(314) 454-7428
(314) 454-5268
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
120278
MO
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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