Organization
JULIE CONYERS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIE A CONYERS MD (PRESIDENT)
(530) 926-5211
Entity
Organization
Contact information
Practice address
635 LASSEN LN, MOUNT SHASTA, CA 96067-9003
(530) 926-5211
(530) 926-5740
Mailing address
635 LASSEN LN, MOUNT SHASTA, CA 96067-9003
(530) 926-5211
(530) 926-5740
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G89174
CA
Other
Enumeration date
08/06/2012
Last updated
11/05/2012
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