Individual
SHANE P JULIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 N ORANGE ST, MISSOULA, MT 59802-2998
(406) 207-7249
Mailing address
900 N ORANGE ST, MISSOULA, MT 59802-2998
(406) 550-3505
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MT
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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