Individual
JULIE ANNE GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 SIXTH AVE N, CENTRACARE CLINIC, ST CLOUD, MN 56303-2735
(320) 252-5731
Mailing address
REGIONAL DIAGNOSTIC RADIOLOGY, 1990 CONNECTICUT AVE S, SARTELL, MN 56377-2554
(320) 257-7787
(320) 257-5596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110001016
VA
363A00000X
Physician Assistant
Primary
10456
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
278255
ANTHEM
VA
Enumeration date
07/12/2006
Last updated
11/30/2015
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