| Kristie Sue Julien, DO | |
|
282 Lago Vista Cir, Bountiful, UT 84010-1821 | |
| (801) 678-1083 | |
| Not Available |
| Full Name | Kristie Sue Julien |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 282 Lago Vista Cir, Bountiful, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376740787 | NPI | - | NPPES |
| R1100 | Other | AZ | TRAINING LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 7738449-1204 (Utah) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 7738449-1204 (Utah) | Secondary |
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristie Sue Julien, DO 282 Lago Vista Cir, Bountiful, UT 84010-1821 Ph: (801) 678-1083 | Kristie Sue Julien, DO 282 Lago Vista Cir, Bountiful, UT 84010-1821 Ph: (801) 678-1083 |
Patricia F. Voss, PMHNP-BC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 105 E 800 N, Bountiful, UT 84010 Phone: 801-842-4799 | |
Dr. Oliver Lamont Mcpherson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-2186 Fax: 801-299-2416 | |
Dr. Carmela J Javellana, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 13 W 3100 S, Bountiful, UT 84010 Phone: 801-268-0333 Fax: 801-268-3777 | |
Michael S Roundy, PHYSICIAN SURGEON Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-3781 Fax: 201-299-2416 | |
Matthew M. Gaines, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-3781 Fax: 801-299-2416 | |
Anthony Michael Petersen, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-3781 Fax: 801-299-2416 |