Individual
JULIE WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3750 S JONES BLVD STE 120, LAS VEGAS, NV 89103-2209
(702) 434-8880
(702) 862-8880
Mailing address
3750 S. JONES BLVD., SUITE 120, LAS VEGAS, NV 89103-2209
(702) 434-8880
(702) 862-8880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11544
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100500023
GROUP MEDICAID
NV
05
—
1588602957
—
NV
01
—
VWCHKL
GROUP MEDICARE
NV
Enumeration date
06/04/2006
Last updated
03/11/2022
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