Individual
JULIE L. VAILS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1322 SHOREWAY RD, STORM LAKE, IA 50588-3016
(712) 213-1322
Mailing address
1322 SHOREWAY RD, STORM LAKE, IA 50588-3016
(712) 213-1322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A749521
CA
207VX0000X
Obstetrics Physician
A749521
CA
208000000X
Pediatrics Physician
A749521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000A749521
—
CA
01
—
034433
HILL PHYSICIANS MED GROUP
CA
01
—
710908889
SUTTER MEDICAL GROUP
CA
01
—
P00051481
MEDICARE RAIL ROAD
CA
Enumeration date
03/07/2006
Last updated
11/19/2010
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